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3㧕Barker DJ, Winter PD, Osmond C, Margetts B, Simmond SJ. Weight in infancy and death from
ischaemic heart disease. Lancet. 982; 2 (8663): 577-580.
4㧕Phipps K, Barker DJ, Hales CN, Fall CH, Osmond C, Clark PM. Fetal growth and impaired glucose
tolerance in men and women. Diabetologia. 993; 36:225-228.
5㧕Fowden AL, Giussani DA, Forhead AJ. Endocrine and metabolic programming during intrauter
Ine development. Early Hum Dev. 2005;8:723-734.
6㧕Stocker CJ, Arch JR, Cawthorne MA. Fetal origins of insulin resistance and obesity.
Proc Nutr Soc. 2005 ;64:43-5.
7㧕Bertram C, Trowern AR, Copin N, Jackson AA, Whorwood CB.The maternal diet during pregnancy
programs altered expression of the glucocorticoid receptor and type 2 beta-hydroxysteroid
dehydrogenase:potential molecular mechanisms underlying the programming of hypertension in
utero. Endocrinology. 200 ;42:284-2853.
8㧕⑔ጟ⑲⥝㧚೨Ꮉ⵨ሶ‫ޔ‬ᄥ↰ජ⿷㧚ᕈකቇ⊛⷗࿾߆ࠄߺߚ⧯ᐕᅚᕈߩ∳ߖ㗿ᦸߩ⢛᥊෸߮ౝಽᴲቇ⊛
ಽᨆ ̆ᕁᤐᦼ૕㊀ᷫዋߩり૕߳ߩᓇ㗀̆ JASS Procedings 2000;2:42㧙48.
9㧕⑔ጟ⑲⥝‫᧻⿒ޔ‬ᐙ᮸㧚ᕁᤐᦼ∳ߖ∝ߩ㛽ߣᅧሺᕈߦኻߔࠆක≮ࠨࡐ࡯࠻㧚㨜78-89. ෘ↢ഭ௛⋭⎇
ⓥ㧦ᕁᤐᦼ∳ߖ∝ߣᕁᤐᦼߩਇஜᐽ∳ߖ⟲ߩታᘒᛠី෸߮ኻ╷ߦ㑐ߔࠆ⎇ⓥ⃰✬㓸‫ޟ‬ᕁᤐᦼ∳ߖ⟲
ዊߩ⸻ᢿߣᴦ≮ࠟࠗ࠼‫ޠ‬ಽశၴ‫ޔ‬2005
0㧕Jones KP, Ravnikar VA, Tulchinsky D, Schiff I.Comparison of bone density in amenorrheic
women due to athletics, weight loss, and premature menopause.
Obstet Gynecol.
985 ;66:5-8.
㧕Bruni V, Bigozzi L, Dei M, Brandi ML. Bone mineral metabolism in diet-induced amenorrhea.
Ann N Y Acad Sci. 997;7;86:250-262.
2㧕Ⴆᧄᶈሶ‫⑔ޔ‬ጟ⑲⥝㧚㛽☻㝃∝੍㒐ߩⷞὐ߆ࠄ⷗ߚ᦬⚻ߣ㛽ઍ⻢േᘒ㧚ౝಽᴲ࡮♧ዩ∛⑼ 2004;
9:435-44.
3㧕Laura K, Trevor H, May-ChooWang, Balasubramanian N,Robert M. Bone Mineral Acquisition in
Healthy Asian, Hispanic, Black, and Caucasian Youth: A Longitudinal Study
J Clin
Endocrinol Metab 999;84:4702-472.
4㧕Sebire NJ, et al. Int J Obes Relat Metab Disord 200;25:75-82.
5㧕ෘ↢ഭ௛⋭࡮ㄘᨋ᳓↥⋭㧚ࡈ࡯࠼ࠟࠗ࠼㧔઒⒓㧕ᬌ⸛ળႎ๔ᦠ㧚㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㧚2005
ȝ 23 ȝ
ᅧᆼᦼ࡮᝼੃ᦼߦߪࠛࡀ࡞ࠡ࡯ߩᔅⷐ㊂߇Ⴧട
ᅧᆼᦼ࡮᝼੃ᦼߦߪࠛࡀ࡞ࠡ࡯ߩᔅⷐ㊂߇Ⴧട
ᅧᆼᦼߦߪ‫ޔ‬Უ૕ߩࠛࡀ࡞ࠡ࡯ᶖ⾌㊂ߦട߃ߡ‫ޔ‬⢝ఽߩ⊒⢒ߩߚ߼ߩࠛࡀ࡞ࠡ࡯㊂ࠍ⏕଻ߔࠆᔅ
ⷐ߇޽ࠆ‫ޕ‬ᅧᆼᦼߦᔅⷐߥࠛࡀ࡞ࠡ࡯㊂ߪ‫ޔ‬㘩੐៨ขၮḰ㧖3 ߦ߅޿ߡ‫ޔ‬㕖ᅧᆼᤨߦᔅⷐߥࠛࡀ࡞ࠡ
࡯㊂ߦઃടߔߴ߈㊂㧔ઃട㊂㧕ߣߒߡ␜ߐࠇ‫ޔ‬ᅧᆼೋᦼ㧔6 ㅳᧂḩ㧕ߢ㧗50kcal‫ޔ‬ਛᦼ㧔6㨪28 ㅳ
ᧂḩ㧕ߢ㧗250kcal‫ᦼᧃޔ‬㧔28 ㅳએ㒠㧕ߢ㧗500kcal ߣߥߞߡ޿ࠆ 㧕‫ޔߚ߹ޕ‬᝼੃ᦼߦߪ‫ޔ‬Უ੃ߩ↥
↢ߩߚ߼ߩࠛࡀ࡞ࠡ࡯㊂߇ᔅⷐߣߐࠇ‫ߩߘޔ‬ઃട㊂ߪ㧗450kcal ߣߥߞߡ޿ࠆ 㧕‫ޕ‬
⴫ 2 ࠛࡀ࡞ࠡ࡯៨ขၮḰ㧔ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂
ࠛࡀ࡞ࠡ࡯៨ขၮḰ㧔ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂㧦
㧔ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂㧦 ᣣᒰߚࠅ㧕
り૕ᵴേ࡟ࡌ࡞ᵈ㧕
ᅚᕈ
ᅧᇚ
᝼੃ᇚ
Σ
Τ
Υ
8㧙29 ᱦ
,750kcal
2,050kcal
2,350kcal
30㧙49 ᱦ
,700kcal
2,000kcal
2,300kcal
ೋᦼ㧔6 ㅳᧂḩ㧕
+50kcal
ਛᦼ㧔6㨪28 ㅳᧂḩ㧕
+250kcal
ᧃᦼ㧔28 ㅳએ㒠㧕
+500kcal
+450kcal
᝼੃ᇚ
ᵈ㧕り૕ᵴേ࡟ࡌ࡞
Σ㧦↢ᵴߩᄢㇱಽ߇ᐳ૏ߢ‫ޔ‬㕒⊛ߥᵴേ߇ਛᔃߩ႐ว‫ޕ‬
Τ㧦ᐳ૏ਛᔃߩ઀੐ߛ߇‫ޔ‬⡯႐ౝߢߩ⒖േ߿┙૏ߢߩ૞ᬺ‫ޔ‬ធቴ╬‫ߪ޿ࠆ޽ޔ‬ㅢൕ࡮⾈‛࡮シ޿
ࠬࡐ࡯࠷╬ߩ޿ߕࠇ߆ࠍ฽߻႐ว‫ޕ‬
Υ㧦⒖േ߿┙૏ߩᄙ޿઀੐߳ߩᓥ੐⠪‫ߤߥ࠷࡯ࡐࠬޔߪ޿ࠆ޽ޕ‬૛ᥜߦ߅ߌࠆᵴ⊒ߥㆇേ⠌ᘠࠍ
߽ߞߡ޿ࠆ႐ว‫ޕ‬
㧖3
㘩੐៨ขၮḰߣߪ
㘩੐៨ขၮḰߣߪ‫ޔ‬ஜᐽߥ୘ੱ߹ߚߪ㓸࿅ࠍኻ⽎ߣߒߡ‫ޔ‬ஜᐽߩ⛽ᜬ࡮Ⴧㅴ‫࡮࡯ࠡ࡞ࡀࠛޔ‬ᩕ㙃⚛ᰳਲ∝
ߩ੍㒐‫↢ޔ‬ᵴ⠌ᘠ∛ߩ੍㒐‫ޔ‬ㆊ೾៨ขߦࠃࠆஜᐽ㓚ኂߩ੍㒐ࠍ⋡⊛ߣߒ‫࡯ࠡ࡞ࡀࠛޔ‬෸߮ฦᩕ㙃⚛ߩ៨ข㊂ߩ
ၮḰࠍ␜ߒߚ߽ߩߢ޽ࠆ‫ޕ‬ᅧ↥ᇚߦߟ޿ߡߪ‫ޔ‬㕖ᅧᆼᤨ࡮㕖᝼੃ᤨߩ㘩੐៨ขၮḰࠍᐕ㦂㓏⚖೎ߦ▚ቯߒߚ਄
ߢ‫ߦࠇߘޔ‬ઃടߔߴ߈㊂ߣߒߡ␜ߐࠇߡ޿ࠆ‫ޔ߅ߥޕ‬
‫ޟ‬ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕
‫ޔߪޠ‬2005 ᐕ㧔ᐔ
ᚑ 7 ᐕᐲ㧕4 ᦬߆ࠄ 200 ᐕ㧔ᐔᚑ 2 ᐕᐲ㧕3 ᦬߹ߢߩ 5 ᐕ㑆૶↪ߐࠇࠆ‫ޕ‬
㧔ᐔᚑ 6 ᐕෘ↢ഭ௛⋭૞ᚑ࡮౏⴫㧕
㧔ෳ⠨⾗ᢱ 2 ෳᾖ㧕
‫ޣ‬㘩੐៨ขၮḰߩ⹦⚦‫ޤ‬
ȝ 24 ȝ
?E‚ƒ„…
?E‚ƒ„…†‡
‚ƒ„…†‡ˆ‰q=
†‡ˆ‰q=
ߏߪࠎ‫ޔࡦࡄޔ‬㤖ߥߤߩਥ㘩ߪ‫ޔ‬ᅧᆼೋᦼ෸߮ਛᦼߢߪ㧝ᣣ 5㨪7 ߟ㧔SV㧕‫ޔ‬ᅧᆼᧃᦼ෸߮᝼੃ᦼ
ߢߪ㧝ᣣ 6㨪8 ߟ㧔SV㧕ࠍ⋡቟ߣߔࠆ‫⃻ޕ‬࿷ߩᣣᧄੱߩᐔဋ⊛ߥ㘩੐᭴ᚑߢߪ‫ߦ࡯ࠡ࡞ࡀࠛ✚ޔ‬භ߼
ࠆ⢽⢌ࠛࡀ࡞ࠡ࡯ߩഀว߇㘩੐៨ขၮḰߢ⋡ᮡߣߐࠇࠆ▸࿐㧔29 ᱦ߹ߢߪ 20㧑એ਄㨪30㧑ᧂḩ‫ޔ‬69
ᱦ߹ߢߪ 20㧑એ਄㨪25㧑ᧂḩ㧕ࠍ⿥߃ߡߒ߹߁ߎߣ߽ᄙ޿ߚ߼ 2㧕‫ޔ‬὇᳓ൻ‛ߩଏ⛎Ḯߣߥࠆਥ㘩ࠍ
ਛᔃߣߒߚ㘩੐ࠍߔࠆߎߣ߇ᦸ߹ߒ޿㧔࿑ 4㧕‫߇⾰ߊ߬ࠎߚߪߦࠎߪߏޔߚ߹ޕ‬฽߹ࠇࠆ਄‫ޔ‬⢽⾰ߪ
ዋߥߊ‫ޔ‬᭽‫ߥޘ‬ᢱℂߣ߽⺞๺ߔࠆߣ޿߁೑ὐࠍᜬߟߩߢ‫ޔ‬Ფᣣ‫ޔ‬ㆡ㊂៨ขࠍᔃ߇ߌࠆ‫ޕ‬
࿑ 4 ࠛࡀ࡞ࠡ࡯ߩᩕ㙃⚛೎៨ข᭴ᚑᲧ㧔ᅚᕈ
ࠛࡀ࡞ࠡ࡯ߩᩕ㙃⚛೎៨ข᭴ᚑᲧ㧔ᅚᕈ,
㧔ᅚᕈ,ᐕ㦂㓏⚖೎㧕
Š
@
xstuvzd{‹
@
xstuvzd{‹Œ?E
Ž
Œ?E
Ž
‫ߩઁߩߘޣ‬ᢱℂ଀‫ޤ‬
ߟಽ㧦⊕߇ࠁ‫⺞ޔࡦࡄ߁ߤ߱ޔ‬ℂࡄࡦ‫ޔ‬
ࡇࠩ࠻࡯ࠬ࠻㧔‐੃࡮੃⵾ຠ㧕‫ޔ‬
ࡂࡦࡃ࡯ࠟ࡯㧔ਥ⩿㧕ߥߤ
2 ߟಽ㧦ߦ߉ࠅߕߒ㧔ਥ⩿㧕
‫ⷫޔ‬ሶਦ㧔೽⩿‫ޔ‬ਥ⩿㧕‫ޔ‬
࠴ࡖ࡯ࡂࡦ㧔೽⩿‫ޔ‬ਥ⩿㧕
‫ޔ‬
ࠞ࡟࡯࡜ࠗࠬ㧔೽⩿‫ޔ‬ਥ⩿㧕ߥߤ
ᵈ㧦㧔 㧕ߪⶄวᢱℂࠍ␜ߒߡ߅ࠅ‫ޔ‬ਥ㘩એᄖߦ
฽߹ࠇࠆᢱℂ඙ಽࠍ⸥タߒߡ޿ࠆ‫ޕ‬
ȝ 25 ȝ
㘩੐ߩ
㘩੐ߩࡃ࡜ࡦࠬ߿ᵴേ㊂ߦ߽㈩ᘦࠍ
㘩੐ߩࡃ࡜ࡦࠬߦߟ޿ߡߪ‫ޡޔ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ࠍޢ‬ෳ⠨ߣߔࠆ㧔6 㗁࿑ 5 ෳ
ᾖ㧕
‫ޕ‬
‫ޡ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޔߪޢ‬
‫ޟ‬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ߩޠ‬ਥ㘩‫ޔ‬೽⩿‫ޔ‬ਥ⩿ߥߤߩ
㧡ߟߩᢱℂ඙ಽߣߘߩ㧝ᣣಽߩ⋡቟ߣߥࠆ㊂ࠍၮᧄߦ‫ޔ‬ᅧᆼᦼ෸߮᝼੃ᦼߦߟ޿ߡ㘩੐៨ขၮḰߦ
␜ߐࠇߚࠛࡀ࡞ࠡ࡯෸߮ฦ⒳ᩕ㙃⚛㊂ࠍḩߚߔࠃ߁ߦ‫ޔ‬ฦᢱℂ඙ಽߩઃട㊂ࠍ␜ߒߚ߽ߩߢ޽ࠆ‫ޕ‬
ࠦࡑߩฝ஥ߦ␜ߐࠇߡ޿ࠆ‫ޟ‬㧝ᣣಽ‫ߪޠ‬㕖ᅧᆼᤨ 2000㨪2200kcal ߩ⋡቟ߣߥࠆ⚵วߖߣ߅߅ࠃߘߩ
㊂ߢ޽ࠆ‫ޕ‬ᅧᆼೋᦼߪߎߩ㊂ࠍ⋡቟ߣߒ‫ޔ‬ᅧᆼਛᦼߦߪ೽⩿‫ޔ‬ਥ⩿‫ޔ‬ᨐ‛ߩᢱℂ඙ಽߦ߅޿ߡ‫ߚ߹ޔ‬
ᅧᆼᧃᦼ෸߮᝼੃ᦼߦߪߔߴߡߩᢱℂ඙ಽߦ߅޿ߡ‫ޔ‬㕖ᅧᆼᤨ࡮ᅧᆼೋᦼߦߘࠇߙࠇઃടߒߚ㊂ࠍ
⋡቟ߣߔࠆߎߣ߇ᦸ߹ߒ޿‫ߚ߹ޕ‬ᵴേ㊂ߦᔕߓߡߎߩ⋡቟ߣߥࠆ㊂ߩ᏷ߩ⺞ᢛࠍⴕ߁ߎߣ߽ᔅⷐߢ
޽ࠆ‫ޔ߅ߥޕ‬ฦᢱℂ඙ಽߦኻߒߡ␜ߐࠇߡ޿ࠆ⋡቟ߩ㊂ߪ ᣣಽߢ޽ࠆ߇‫ޔ‬㘩੐ߩ㊂߿ౝኈߪᣣ‫ޔޘ‬
ᄌࠊࠆ߽ߩߢ޽ࠅ‫ޔ‬⠌ᘠ⊛ߥ៨ขࠍ޽ࠊߖߡ⠨ᘦߔࠆᔅⷐ߇޽ࠆ‫ޕ‬
૕㊀ߪ⚻ᤨ⊛ᄌൻࠍ⏕⹺
ᅧᆼᦼߩ૕㊀ߦߟ޿ߡߪ‫⥋ޔ‬ㆡ૕㊀Ⴧട㊂㧖4 ࠍෳ⠨ߦ‫ޔ‬㕖ᅧᆼᤨߩ૕ᩰ඙ಽߦᔕߓߚᄌൻߦߥࠆ
ࠃ߁⛮⛯⊛ߦ⏕⹺ߒߡ޿ߊ‫ޕ‬ᅧᆼਛߩ૕㊀Ⴧട㊂ߪ‫࡯ࠡ࡞ࡀࠛޔ‬៨ข㊂߿ࠛࡀ࡞ࠡ࡯ᶖ⾌㊂ߦࠃߞ
ߡੱߘࠇߙࠇ⇣ߥߞߡߊࠆ‫ޕ‬઒ߦหߓࠛࡀ࡞ࠡ࡯៨ข㊂ߢ߽‫ޔ‬୘‫ߡߞࠃߦੱޘ‬૕ᚑಽߩวᚑ࡮ಽ⸃
߿ᦨૐ㒢ߩ⤳ེߩᵴേߥߤࠍ⛽ᜬߔࠆၮ␆ઍ⻢㊂‫ޔ‬り૕ᵴേ㊂ߥߤ߇⇣ߥࠆߚ߼‫ޔ‬૕㊀ߩᄌൻߦߪ
୘ੱᏅ߇↢ߓࠆߎߣߦߥࠆ‫ޔߢߎߘޕ‬㘩੐㊂ߪ૕㊀ߩᄌൻࠍ⏕⹺ߒߥ߇ࠄ⷗⋥ߒߡ޿ߊߎߣ߇ၮᧄ
ߣߥࠆ‫ޕ‬
*4
⥋ㆡ૕㊀Ⴧട㊂ߣߪ
⹦⚦ߪ 28-29 㗁ߩ‫ޟ‬૕ᩰ඙ಽ೎ ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ૕㊀Ⴧട㊂‫ޠ‬෸߮‫ޟ‬૕ᩰ඙ಽ೎
ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂‫ࠍޠ‬ෳᾖ‫ޕ‬
ᅧᆼᦼ
ᅧᆼᦼ࡮᝼੃ᦼߪⴕേᄌኈߩᅢᯏ
࡮᝼੃ᦼߪⴕേᄌኈߩᅢᯏ
ᅧᆼߒߡ߆ࠄ‫ޟ‬ሶߤ߽ߩߚ߼ߦ‫߁޿ߣޠ‬േᯏߠߌ߇㜞߹ࠅ‫ޔ‬ᅧᆼᦼ࡮᝼੃ᦼߪ‫ޔ‬㘩↢ᵴࠍߪߓ߼༛ᾍ‫ޔ‬㘶㈬‫ޔ‬
り૕ᵴേߥߤ↢ᵴో૕ࠍ⷗⋥ߔᄾᯏߦߥࠅ߿ߔ޿‫৻ޔߚ߹ޕ‬ᣇߢᅧᆼ࡮಴↥ߦਇ቟ࠍᗵߓ‫ࠄߥ߫ࠇߌߥߒ߁ߎޟޔ‬
ߥ޿‫⽶ߣޠ‬ᜂߦᗵߓࠆ႐ว߽޽ࠆ‫ޕ‬ᅧᆼᦼ࡮᝼੃ᦼࠍ࡜ࠗࡈࠬ࠲ࠗ࡞ߩᡷༀߩᅢᯏߣߣࠄ߃‫ޔ‬කᏧ‫ޔ‬ഥ↥Ꮷ‫଻ޔ‬ஜ
Ꮷ‫⼔⋴ޔ‬Ꮷ‫▤ޔ‬ℂᩕ㙃჻ߥߤߩኾ㐷ኅߩᡰេࠍฃߌߥ߇ࠄ‫⥄߇ࠅߣ߭ੱ৻ޔ‬Ꮖ▤ℂ⢻ജࠍりߦߟߌ‫ޔ‬ஜᐽߩ⛽ᜬ࡮
Ⴧㅴࠍ⋡⊛ߣߒߚㆡಾߥ↢ᵴ⠌ᘠߩ⏕┙߇࿑ࠄࠇࠆࠃ߁ߦߔࠆ‫ޕ‬
ᢥ₂
㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕㧚
2㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 5 ᐕ࿖᳃ஜᐽ࡮ᩕ㙃⺞ᩏႎ๔㧚
ȝ 26 ȝ
ȝ 27 ȝ
ȼˍ
ȝ
ȼˍ
ȼˍ
ȼˍ
ȼˍ
ȼˍ
ȼˍ
ළૡྎ‫ܢ‬
਎!඿!‫ܢ‬
ၳȁȁၑȁȁ႕
ȁ૙‫؂‬Ȇ࿳ড̞͉̾̀ͅၳၑ͈ಎͅঀဥ̯̞͈̜ͦ̀ͥ́ͤ͜Ȃȶ΋ζȷ͈ͼρΑΠ
̱͂̀ນ̵࡛̯̞̦ͦ̀ͭ͘Ȃ৘ष͈૙ম஖఼͈ા࿂́ນা̯ͦͥष͉ͅ૙‫؂‬௖൚ၾ͞
ডৗ̵ࣣͩ̀͜ૂ༭೹‫̦̭̯͂ͥͦރ‬བ̳ͦ͘͘ȃ
࢚୆Ⴛ൱જ‫͍ݞ‬෠ႅକॲજ̦૙୆‫ڰ‬ঐૻͬߓఘഎ࣐̈́൲͍̫͈̱ࠫ̾ͥ͂̀͜ͅै଼Ȇ࢖ນ̱̹ȶȁȁȁȁȁȁȁȁȁȁȷ
Ȫ3116 ාȫͅȂ૙ম୫৾‫ܖ‬੔͈ළૡ‫ܢ‬Ȇ਎඿‫حັ͈ܢ‬ၾͬ४ࣉ֚ͅ໐‫ح‬ຊ
ȁ̭͈ͼρΑΠ͈ၳၑ႕ͬழ̵̷͙ࣣ̤̤ͩͥ͂͢ 3-311ldbmȃ
๱ළૡশȆළૡ੝‫ܢ‬Ȫ31 ȡ 5: प੫଻ȫ͈૸ఘ‫ڰ‬൲τασ
ȶ͏̠̾Ȫ‫ء‬ȫȷոષ͈ˍ඾໦͈ഐၾͬা̱̞̳̀͘ȃ
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๱ළૡশȂළૡ੝‫ˍ͈ܢ‬඾໦ͬ‫ུ̱͂ܖ‬Ȃළૡಎ‫ܢ‬Ȃළૡྎ‫ܢ‬Ȇ਎඿‫̸̷͈͉༷͈ͦͦܢ‬იඤ͈ັ‫ح‬ၾͬ༞̠̭̦͂ຈါ̳́ȃ
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଎ˑȁළॲິ͈̹͈͛૙মΨρϋΑ΄ͼΡ
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㊁⩿ߦߪ‫ޔ࡞࡜ࡀࡒޔࡦࡒ࠲ࡆޔ‬㘩‛❫⛽ߥߤ‫ޔ‬ஜᐽߩ⛽ᜬ࡮Ⴧㅴߦᔅⷐߥᩕ㙃ᚑಽ߇ᄙߊ฽
߹ࠇߡ޿ࠆ‫ޕ‬ᅧᆼᦼ࡮᝼੃ᦼߢߪ‫ޔ‬Უ૕ߩஜᐽ෸߮⢝ఽߩ⊒⢒ࠍ⏕଻ߒ‫ߚ߹ޔ‬Უ੃ߩಽᴲ㊂ߣ฽
᦭ߔࠆᩕ㙃ᚑಽࠍ⏕଻ߔࠆߚ߼‫ޔ‬චಽߥฦ⒳ࡆ࠲ࡒࡦ߿ࡒࡀ࡜࡞ߥߤ߇ᔅⷐߣߐࠇࠆ㧔⴫ 3㧕㧕‫ޕ‬
⃻࿷‫ޔ‬ᣣᧄੱߩ㊁⩿៨ข㊂ߪᐔဋ⊛ߦዋߥߊ‫ ߦ․ޔ‬20 ᱦઍᅚᕈߢ 242g‫ޔ‬30 ᱦઍᅚᕈߢ 240g2㧕ߣ‫ޔ‬
㧝ᣣߩ៨ข⋡ᮡߣߐࠇࠆ 350㨓3㧕ࠍᄢ߈ߊਅ࿁ߞߡ޿ࠆ㧔࿑ 6㧕
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ᴺߦࠃߞߡ‫߽ࠅࠃ↢ޔ‬ᄙߊߩ㊁⩿㊂ࠍ៨ขߔࠆߎߣ߇ߢ߈ࠆߩߢ‫⺞ޔ‬ℂᴺࠍᎿᄦߔࠆ‫ޕ‬
⴫ 3 ᅧᆼᦼ࡮᝼੃ᦼߦ߅ߌࠆਥߥࡆ࠲ࡒࡦ‫ߤߥ࡞࡜ࡀࡒޔ‬
ᅧᆼᦼ࡮᝼੃ᦼߦ߅ߌࠆਥߥࡆ࠲ࡒࡦ‫ߩߤߥ࡞࡜ࡀࡒޔ‬㘩੐៨ขၮḰ
ߥߤߩ㘩੐៨ขၮḰ㧔
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ᅧᆼࠍ⸘↹ߒߡ޿ࠆᅚᕈ෶ߪᅧᆼߩน⢻ᕈ߇޽ࠆᅚᕈߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ࡝ࠬࠢߩૐᷫߩߚ߼ߦ‫ޔ‬400Ǵg㧛
ᣣߩ⪲㉄៨ข߇ᦸ߹ࠇࠆ‫ޕ‬
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៨ข߇ᦸ߹ࠇࠆ‫ޕ‬
ߥ߅‫ޔ‬ᅧᇚ‫ޔ‬᝼੃ᇚߩ࠽࠻࡝࠙ࡓߩ⋡ᮡ㊂ߪ‫ޔ‬㜞ⴊ࿶ߥߤ‫↢ޔ‬ᵴ⠌ᘠ∛੍㒐ߩⷰὐ߆ࠄ‫ޔ‬㕖ᅧᆼᤨ‫ޔ‬㕖᝼੃ᦼߣหߓ
ᣣ޽ߚࠅ 8g ᧂḩߣߔࠆ‫ߩߎޔߒߛߚޕ‬୯ߪᒰ㕙ߩ⋡ᮡߣߒߡ␜ߐࠇߡ޿ࠆ߽ߩߢ޽ࠅ‫ޔ‬㜞ⴊ࿶ߩ࡝ࠬࠢࠍࠃࠅૐ
ਅߐߖࠆⷰὐ߆ࠄߪ‫ޔ‬ኻ⽎ߦᔕߓߡߐࠄߦૐ޿៨ข㊂ࠍ⋡ᜰߔߴ߈ߣߐࠇࠆ‫ޕ‬
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ࠠࡖࡌ࠷ߩࠨ࡜࠳‫ޔ‬㊁⩿ࠬ࡯ࡊ‫ޔ߁߷ߏࠄ߯ࠎ߈ޔ‬
ᨑ⼺‫ޔ‬ಾࠅᐓߒᄢᩮߩᾚ‛‫ޔࡊ࡯ࠬࡦ࡯ࠦޔ‬
ࡐ࠹࠻ࠨ࡜࠳ߥߤ
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߹ߚ‫ߩ㉄⪲ޔ‬៨ขߪ‫ޔ‬ᄙߊߩ3ቇ⊛⎇ⓥߦࠃࠅ4ಽ56ߥߤߩ␹⚻▤㐽㎮㓚ኂ6 ߩ⊒∝࡝ࠬࠢࠍ
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㓚ኂߩ⊒∝࡝ࠬࠢ߇v<ߣߒߡߺߚŒวߦૐᷫߔࠆߎߣ߇ᦼ=ߢ߈ࠆ>sႎឭtࠍⴕ߁‫ࠊ޿ޔߒߛߚޕ‬8ࠆᩕ㙃
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⪲㉄ߪ‫✛ޔ‬㤛⦡㊁⩿ࠍߪߓ߼‫⼺ޔ‬㘃‫ޔ‬ᨐ‛ߥߤߩりㄭߥ㘩ຠߦᄙߊ฽߹ࠇ‫⺞ޔ‬ℂߦࠃࠆ៊ᄬ߿૕
ౝߦ߅ߌࠆ⫾Ⓧᕈ߇ૐ޿ߎߣࠍ⠨߃ߡ‫ޔ‬Ფᣣ៨ขߔࠆߎߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬㘩੐߆ࠄߩㆡᱜߥ⪲㉄៨
ข߇࿎㔍ߥ႐วߪ㘩੐ో૕ߩࡃ࡜ࡦࠬߦ⇐ᗧߩ਄‫ޔ‬ᩕ㙃ᯏ⢻㘩ຠ㧖7 ߩ೑↪߽ផᅑߔࠆ‫ޕ‬
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ߒߚ㘩ຠߢ޽ࠅ‫ޔ‬㜞㦂ൻ߿㘩↢ᵴߩੂࠇߥߤߦࠃࠅ‫ޔ‬ㅢᏱߩ㘩↢ᵴࠍⴕ߁ߎߣ߇㔍ߒߊ‫ޔ‬㧝ᣣߦᔅⷐߥᩕ㙃ᚑ
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⃻࿷‫ޔ‬ᩕ㙃ᯏ⢻㘩ຠߩⷙᩰၮḰߪ 7 ⒳㘃㧔ࡆ࠲ࡒࡦ 2 ⒳㘃‫ ࡞࡜ࡀࡒޔ‬5 ⒳㘃㧕ߦ⸳ቯߐࠇߡ߅ࠅ‫ߩ㉄⪲ޔ‬
႐วߪ‫ޔ‬㧝ᣣᒰߚࠅߩ៨ข⋡቟㊂ߦ฽߹ࠇࠆ⪲㉄ߩ฽᦭㊂߇‫ޔ‬60Ǵg એ਄ 200Ǵg એਅߩ▸࿐ౝߦ޽ࠇ߫‫ޔ‬
‫⪲ޟ‬
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⴫␜ࠍߒ‫ޟ‬ᩕ㙃ᯏ⢻㘩ຠ㧔⪲㉄㧕
‫⽼ߡߒߣޠ‬ᄁߔࠆߎߣ߇ߢ߈ࠆ‫ޕ‬
ᨐ‛߽Ფᣣㆡ㊂ࠍ
ᨐ‛ߪࡆ࠲ࡒࡦ C ߿ࠞ࡝࠙ࡓ‫ޔ‬㘩‛❫⛽ߥߤߩଏ⛎Ḯߢ޽ࠅ‫ޔ‬Ფᣣ‫ޔ‬ㆡ㊂ࠍ៨ขߔࠆߎߣ߇ߔߔ
߼ࠄࠇ‫ޔ‬ᅧᆼೋᦼߢߪ ᣣ 2 ߟ㧔SV㧕
‫ޔ‬ᅧᆼਛᦼ෸߮ᧃᦼ‫ޔ‬᝼੃ᦼߢߪ 3 ߟ㧔SV㧕ࠍ⋡቟ߣߔࠆ‫ޕ‬
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ᢥ₂
㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕㧚
2㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 5 ᐕ࿖᳃ஜᐽ࡮ᩕ㙃⺞ᩏႎ๔㧚
3㧕ෘ↢⋭㧚2 ਎♿ߦ߅ߌࠆ࿖᳃ஜᐽߠߊࠅㆇേ㧔ஜᐽᣣᧄ 2㧕
㧚2000㧚
ȝ 32 ȝ
ߚࠎ߬ߊ⾰ߩଏ⛎Ḯߣߥࠆ‫ޟ‬ਥ⩿‫ߪޠ‬ㆡ㊂ࠍ
ߚࠎ߬ߊ⾰ߪ‫ޔ‬૕ߩ㛽ᩰ‫╭ޔ‬⡺‫ࠍߤߥ⤏⊹ޔ‬᭴ᚑߔࠆߣߣ߽ߦ‫ޔ‬ઍ⻢⺞▵╬ߩߐ߹ߑ߹ߥᯏ⢻ࠍ
ᨐߚߔ‫ޕ‬ᅧᆼᦼߦߪ‫ޔ‬⢝ఽߩ⊒⢒ߦᔅⷐߣߐࠇࠆ૕ߚࠎ߬ߊ⾰ߩ⫾Ⓧ㊂ࠍ⏕଻ߔࠆߚ߼ߦ‫߬ࠎߚޔ‬
ߊ⾰ߩઃട㊂߇㧗0㨓ߣߥߞߡ޿ࠆ
㧕
‫ޕ‬⡺‫ޔ‬㝼‫ޔ‬ෆ‫ޔ‬ᄢ⼺ߥߤࠍਥ᧚ᢱߣߔࠆ‫ޟ‬ਥ⩿‫ߩ⾰⦟ޔߪޠ‬
ߚࠎ߬ߊ⾰ߩଏ⛎Ḯߣߥࠅ‫ޔ‬ᅧᆼೋᦼߢߪ ᣣ 3㨪5 ߟ㧔SV㧕
‫ޔ‬૕ߚࠎ߬ߊ⾰ߩ⫾Ⓧ㊂߇Ⴧടߔࠆᅧ
ᆼਛᦼ෸߮ᧃᦼߢߪ 4㨪6 ߟ㧔SV㧕
‫ޔ‬᝼੃ᦼߢߪᴲ੃ߦኻߔࠆઃട㊂ࠍട๧ߒ 4㨪6 ߟ㧔SV㧕ࠍ⋡቟ߣ
ߔࠆ‫ޕ‬
⴫ 4 ߚࠎ߬ߊ⾰ߩ㘩੐៨ขၮḰ㧔ផᅑ㊂㧦
ߚࠎ߬ߊ⾰ߩ㘩੐៨ขၮḰ㧔ផᅑ㊂㧦
㧔ផᅑ㊂㧦 ᣣᒰߚࠅ㧕
ߚࠎ߬ߊ⾰
ᅚᕈ
ᅧ
8㧙29 ᱦ
50g
30㧙49 ᱦ
50g
ᇚ
ೋᦼ㧔6 ㅳᧂḩ㧕
㧗0g
ਛᦼ㧔6㨪28 ㅳᧂḩ㧕
ᧃᦼ㧔28 ㅳએ㒠㧕
᝼੃ᇚ
㧗20g
‫ޡ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޢ‬
ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޟࠆߌ߅ߦޢ‬ਥ⩿‫ߩޠ‬ᢱℂ଀
‫ߩઁߩߘޣ‬ᢱℂ଀‫ޤ‬
ߟಽ㧦࠙ࠗࡦ࠽࡯ߩ࠰࠹࡯‫࠷ࡌࡖࠠ࡞࡯ࡠޔ‬㧔೽⩿㧕
‫ޔ‬
⡺ߓ߾߇㧔೽⩿㧕
‫ߤߥߒ⫳⏀⨥ޔ‬
2 ߟಽ㧦὾߈ߣࠅ‫ࠩ࡯࡚ࠡޔ‬㧔೽⩿㧕
‫ޔ‬ᾚ㝼‫ޔ‬
ࠬࠢ࡜ࡦࡉ࡞ࠛ࠶ࠣ‫ޔ‬㤗ᇎ⼺⣣ߥߤ
4 ߟಽ㧦ߔ߈὾߈㧔೽⩿㧕
ᵈ㧦
㧔 㧕ߪⶄวᢱℂࠍ␜ߒߡ߅ࠅ‫ޔ‬ਥ⩿એᄖߦ
฽߹ࠇࠆᢱℂ඙ಽࠍ⸥タߒߡ޿ࠆ‫ޕ‬
ȝ 33 ȝ
⽺ⴊ੍㒐ߥߤߩߚ߼ߦ㘩᧚ߦߪ㈩ᘦߒߡ
૕ౝߩ㋕ߩ⚂ 70㧑߇⿒ⴊ⃿ਛߩࡋࡕࠣࡠࡆࡦߣߒߡⴊᶧਛߦሽ࿷ߒ‫ޔ‬⢖߆ࠄߩ㉄⚛ߩㆇ៝ߦ㊀ⷐߥ
ᓎഀࠍᜂߞߡ޿ࠆ‫ޕ‬㋕߇ਇ⿷ߔࠆߣࡋࡕࠣࡠࡆࡦߩ↢ᚑ߇ᅹߍࠄࠇ‫ޔ‬㋕ᰳਲᕈ⽺ⴊߣߥࠆ‫ޕ‬ᅧᆼᦼߦ
߅޿ߡ㋕ᰳਲᕈ⽺ⴊߪᄙߊ‫ޔ‬ᅧᇚஜ⸻ߩ㓙ߩᬌᩏ⚿ᨐߦᔕߓߡᔅⷐߥᴦ≮߇ⴕࠊࠇߡ޿ࠆ‫ޕ‬ㆡᱜߥ⾂
⬿㋕ࠍ߽ߟஜᐽߥੱߢߪ‫ޔ‬ਥߦേ‛ᕈߩ㘩ຠߦᄙߊ฽߹ࠇࠆࡋࡓ㋕ߩๆ෼₸ߪ 20㨪30㧑ߢ޽ࠅ 2)‫ޔ‬ᬀ
‛ᕈ㘩ຠߦᄙߊ฽߹ࠇࠆ㕖ࡋࡓ㋕ߩๆ෼₸ߦᲧߴ㜞޿ߚ߼‫⿒ޔ‬りߩ⡺߿㝼ߥߤ㋕ࠍ฽߻േ‛ᕈ㘩ຠࠍ
਄ᚻߦขࠅ౉ࠇࠆࠃ߁ߦߔࠆ‫ޔߚ߹ޕ‬ᣣᧄੱ߇㘩੐߆ࠄ៨ขߔࠆ㋕ߩ⚂ 85㧑એ਄߇ๆ෼₸ߩዋߥ޿㕖
ࡋࡓ㋕ߢ޽ࠅ‫ޔ‬
㕖ࡋࡓ㋕ߩๆ෼₸ߪߚࠎ߬ߊ⾰߿ࡆ࠲ࡒࡦ C ߩ៨ข㊂߇Ⴧടߔࠆߣ㜞߹ࠆ 3㧕ߎߣ߆ࠄ‫ޔ‬
㘩ຠߩ⚵วߖߦ߽㈩ᘦߔࠆ‫ޕ‬
߹ߚ‫ޔ‬ᅧᆼਛߪ‫ޔ‬⢝ఽߩ␹⚻♽ߩེቭᒻᚑߩߚ߼ߦ‫ޔ‬ᔅ㗇⢽⢌㉄㧖8 ߩ߭ߣߟߢ޽ࠆ n-3 ♽⢽⢌㉄㧔EPA
߿ DHA ߥߤ㧕ߩࠃࠅᄙ޿៨ข߇ᔅⷐߣߐࠇࠆ 4㧕‫ޕ‬㝼↱᧪ߩ n-3 ♽⢽⢌㉄៨ข߇ዋߥ޿႐วߦߪ‫ޔ‬ᣧ↥
߿ૐ૕㊀ఽ಴↥ߩ࡝ࠬࠢ߇㜞޿ߣ޿߁ႎ๔߽ߺࠄࠇࠆ 5㧕ߎߣ߆ࠄ‫ߩߤߥࠅ߱ޔ߫ߐޔߒࠊ޿ޔ‬㕍り㝼
߽ขࠅ౉ࠇࠆࠃ߁ߦߔࠆ‫ޕ‬
㧖8
ᔅ㗇⢽⢌㉄ߣߪ
⢽⢌㉄ߪ㘩ຠߦ฽߹ࠇࠆ⢽⾰ߩਥߥᚑಽߢ޽ࠅ‫ߩߘޔ‬᭴ㅧߦࠃߞߡ㘻๺⢽⢌㉄‫৻ޔ‬ଔਇ㘻๺⢽⢌㉄‫ޔ‬ᄙଔਇ
㘻๺⢽⢌㉄ߦಽߌࠄࠇࠆ‫ߦ․ޕ‬૕ౝߢ૞ࠆߎߣ߇ߢ߈ߥ޿⢽⢌㉄ࠍᔅ㗇⢽⢌㉄ߣ⸒߁‫ޕ‬ᔅ㗇⢽⢌㉄ߦߪ‫ࡁ࡝ޔ‬
࡯࡞㉄‫ޔ‬ǩ́࡝ࡁ࡟ࡦ㉄ߥߤߩઁ‫ޔ‬ਥߦ㝼ߦᄙߊ฽߹ࠇࠆ DHA㧔࠼ࠦࠨࡋࠠࠨࠛࡦ㉄㧕߿ EPA㧔ࠛࠗࠦࠨࡍࡦ࠲
ࠛࡦ㉄㧕ߥߤߩ n-3 ♽⢽⢌㉄߇޽ࠆ‫ޕ‬
ȝ 34 ȝ
ᅧᆼೋᦼߦߪࡆ࠲ࡒࡦ㧭
ᅧᆼೋᦼߦߪࡆ࠲ࡒࡦ㧭ߩㆊ೾៨ขࠍㆱߌߡ
ߩㆊ೾៨ขࠍㆱߌߡ
ࡆ࠲ࡒࡦ A ߪ਄⊹⚦⢩‫ེޔ‬ቭߩᚑ㐳߿ಽൻߦ㑐ਈߔࠆߚ߼ߦ‫ޔ‬ᅧᇚߦߣߞߡ㊀ⷐߥࡆ࠲ࡒࡦߢ޽
ࠆ‫ ࡦࡒ࠲ࡆޔߒ߆ߒޕ‬A ߪㆊ೾៨ขߦࠃࠅవᄤᄸᒻ߇Ⴧടߔࠆߎߣ߇ႎ๔ 6㧕ߐࠇߡ޿ࠆߚ߼ߦ‫ޔ‬਄
㒢㊂ߪ ,00Ǵg㧾㧱㧛ᣣߣߐࠇߡ޿ࠆ‫ޔߢߎߘޕ‬ᅧᆼࠍ⸘↹ߔࠆ⠪‫߮ࠃ߅ޔ‬ᅧᆼ 3 ߆᦬એౝߩ⠪ߪ
࡟ࡃ࡯ߥߤߩࡆ࠲ࡒࡦ A ฽᦭㊂ߩᄙ޿㘩ຠ‫ ࡦࡒ࠲ࡆޔ‬A ࠍ฽߻ᩕ㙃ᯏ⢻㘩ຠ߿ࠨࡊ࡝ࡔࡦ࠻╬ߩ⛮
⛯⊛ߥᄢ㊂៨ขࠍㆱߌࠆߎߣ߇ᄢಾߢ޽ࠆ‫ޕ‬
ߥ߅‫ޔ‬Ǫ́ࠞࡠ࠹ࡦߪᬀ‛↱᧪ߩࡊࡠࡆ࠲ࡒࡦ A ߢ޽ࠅ‫ ࡦࡒ࠲ࡆޔ‬A ߇ਇ⿷ߒߚ႐ว‫ޔ‬૕ౝߢࡆ
࠲ࡒࡦ A ߦᄌ឵ߐࠇࠆ‫⃻ޕ‬࿷‫ޔ‬Ǫ́ࠞࡠ࠹ࡦߩㆊ೾៨ขߦࠃࠆ㓚ኂߪ⍮ࠄࠇߡ޿ߥ޿ߩߢ 㧕‫ޔ‬਄㒢
୯ࠍ⠨ᘦߒߚࡆ࠲ࡒࡦ A ៨ข㊂ߩ▚಴ߦߪࠞࡠ࠹ࡦߪ฽߹ࠇߡ޿ߥ޿‫ޕ‬
㝼੺㘃ߪ‫ޔ‬㘩ߴࠆ⒳㘃
㝼੺㘃ߪ‫ޔ‬㘩ߴࠆ⒳㘃ߣ㊂
⒳㘃ߣ㊂ࠍ⏕⹺ߒߥ߇ࠄࡃ࡜ࡦࠬ⦟ߊ
ߣ㊂ࠍ⏕⹺ߒߥ߇ࠄࡃ࡜ࡦࠬ⦟ߊ
ᐔᚑ 7 ᐕ ᦬ 2 ᣣ‫⮎ޔ‬੐࡮㘩ຠⴡ↢ክ⼏ળ㘩ຠⴡ↢ಽ⑼ળ ੃⡺᳓↥㘩ຠㇱળࠃࠅ‫ޟ‬ᅧᇚ߳ߩ
㝼੺㘃ߩ៨㘩ߣ᳓㌁ߦ㑐ߔࠆᵈᗧ੐㗄‫߇ޠ‬಴ߐࠇߡ޿ࠆ‫ޕ‬ᱜ⏕ߥℂ⸃ߩߚ߼ߦ‫ޔ‬ෳ⠨⾗ᢱ 4 ෸߮ᧄ
ᵈᗧ੐㗄ߦ㑐ߔࠆ㧽㧒㧭ߦߟ޿ߡෳᾖߔࠆ‫ޕ‬
‫ޣ‬ᵈᗧ੐㗄ߩ⹦⚦෸߮㧽㧒㧭‫ޤ‬
ᢥ₂
㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕㧚
2㧕Bothwell TH, Baynes RD, MacFarlane BJ, MacPhail AP.
Nutritional iron requirements and food
iron absorption.J Intern Med. 989;226:357-365.
3㧕Hulten L, Gramatkovski E, Gleerup A, Hallberg L. Iron absorption from the whole diet. Relation
to meal composition, iron requirements and iron stores.Eur J Clin Nutr. 995; 49:794-808.
4㧕Innis SM. Essential fatty acids in growth and development. Prog Lipid Res 99;30:39-03
5) Olsen SF. Secher NJ. Low consumption of seafood in early pregnancy as a risk factor for pretern
delivery:prospective cohort study. BMJ 2002;324:447-450.
6㧕Rothman KJ, Moore LL, Singer MR, et al. Teratogenicity of high vitamin A intake. N Engl J
Med 995; 333:369-373.
ȝ 35 ȝ
gpqr—˜™
pqr—˜™¯
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gpqr—˜™
1°±²9:
ᅧᆼᦼߦߪ‫ߩ࡞ޔ‬ef3߇਄gߔࠆߎߣ߆ࠄ‫ޔ‬ᅧᆼ∝㧔ᅧᆼ∝㧕ߥߤߦ
ࠃࠅ⢝h¾ૐਅ߇޽ࠆŒวࠍB߈‫†ߩ࡞ޔ‬ട㊂ߪᔅⷐߥ޿ߣߐࠇߡ޿ࠆ
'㧕
‫ޔߚ߹ޕ‬᝼੃
ᦼߦ߅޿ߡ߽‫ߦ⊛৻ޔ‬㛽㊂ߩᷫw߇ߺࠄࠇࠆ߇‫ޔ‬᝼੃iੌᓟߩ; 6 ߆᦬[ߢᅧᆼ೨ߩ⁁&ߦ
jࠆߎߣ߆ࠄ‫†ޔ‬ട㊂ߪᔅⷐߥ޿ߣߐࠇߡ޿ࠆ '㧕‫ޕ‬
ߒ߆ߒ‫ߪࠄࠇߎޔ‬ᐕD㓏⚖#ߦ␜ߐࠇߚ⋡቟㊂ߩ࡞ࠍ៨ขߒߡ޿ࠆŒวߢ޽ࠆ‫⃻ޕ‬k‫ޔ‬
ᣣੱߩᐔ⊛ߥ࡞៨ข㊂ߪwߥߊ‫ޔ‬20 4ઍᅚᕈߢ 457mg‫ޔ‬30 4ઍᅚᕈߢ 465mg2㧕ߣ‫ޔ‬
࡞ߩ㘩੐៨ขၮḰߣߒߡ␜ߐࠇࠆ⋡቟㊂㧔20 4ઍᅚᕈ 700mg‫ޔ‬30 4ઍᅚᕈ 600mg㧕ࠍਅ࿁ߞ
ߡ޿ࠆ㧔࿑ 7㧕
‫ޕ‬ᅧᆼᦼ2᝼੃ᦼߦ ࠊࠄ‚‫ޔ‬ᣣl߆ࠄq⼂⊛ߦ࡞ߩ៨ขߦm߼ࠆᔅⷐ߇޽
ࠆ‫ޕ‬
࿑ 7 ࡞៨ข㊂㧔ᅚᕈ,
࡞៨ข㊂㧔ᅚᕈ,ᐕDwx#㧕
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º»™¸¼½¾¿`H
࡞ߪ‫ޟޔ‬á੃2੃Üຠ‫ޟޠ‬ᄢÕ2ᄢÕÜຠ‫ޟޠ‬㊁Ò‫ޟޠ‬nÔ#‫×ޟޠ‬Ø‫ޔ‬oâ‫ߤߥޠ‬
ߦᄙߊ߹ࠇࠆ‫ޔ߽ߢߩߘޕ‬á੃2੃Üຠߪ‫⦟ޔ‬pߚÏqߊpߣࠛࡀ࡞ࠡ࡯ߩ9ߦ߽r⊛ߢ޽ࠆ
ߎߣ߆ࠄ‫ޔ‬ᅧᆼsᦼ෸߮ᦼߦߪ‫ޔ‬ᅧᆼߣtߓ㧝ᣣ2ߟ㧔SV㧕‫ޔ‬ᅧᆼuᦼ෸߮᝼੃ᦼߦߪ'ߟ†ടߐ
ࠇߚ'ᣣ3ߟ㧔SV㧕ࠍ⋡቟ߣߒߡ៨ขߔࠆ‫ޕ‬
߹ߚ‫ޔ‬á੃2੃Üຠ¤ᄖߦ߽‫ࠍ࡞ޔ‬ᄙߊ߻㘩ຠࠍ਄vߦ⚵ߺวࠊߖߡ‫ޔ‬ᔅⷐߣߐࠇࠆ㊂ߩ
࡞߇៨ขߢ߈ࠆࠃ߁ߥ㘩⠌ᘠࠍ⏕cߔࠆ‫ޕ‬
ȝ 36 ȝ
Š
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á੃ߪੱߦࠃߞߡߪ㘩ây࡞!ߣߥࠆŒว߇޽ࠆ‫⎇ޕ‬ⓥႎ๔ߢߪ‫ޔ‬ᅧᆼᦼߦ\ⷫ߇㘩ây
࡞!㧔á੃ࠍ߻‫ޔ‬¤ਅtߓ㧕Bzࠍⴕߞߡ߽‫ޔ‬ሶߤ߽ߩy࡞ࠡ࡯œ{ߩ⊒∝3߿|3ቇ⊛ï
࡯࡯ߦߪªq}߇ߥ߆ߞߚߣߔࠆႎ๔߽޽ࠆ 3)4)‫ޔߚ߹ޕ‬᝼੃ᦼߦ\ⷫߣሶߤ߽߇á੃ߩBzࠍⴕ
߁ߣ‫ߩఽࠢࠬ࡝
~ޔ‬y࡞ࠡ࡯œ{⊒∝3ࠍ੃ఽᦼ‫ߦᦼ€ᦼఽޔ‬ૐਅߐߖࠆߎߣ߇ߢ߈ࠆ߇‫ޔ‬
ᦼ⊛ߦߪªq}߇ߥߊߥࠆߣ޿߁ႎ๔߽ᄙ޿ 5)7)‫ޕ‬ᅧᆼᦼ‫ޔ‬᝼੃ᦼߣ߽ߦ㘩ây࡞!ࠍBz
ߒߚŒวߦߪ‫ޔ‬y࡞ࠡ࡯ߩF‚ƒ߇޽ࠆఽߩy࡞ࠡ࡯⊒∝„…ߦr߇޽ࠆߣߔࠆႎ๔߽޽ࠆ
8㧕-'2㧕
‫ޕ‬
ᅧ↥ᇚGŸ‫ޔ‬F‚‫ޔ‬ሶߤ߽ߩ†‡ˆ‰߇y࡞ࠡ࡯૕pߥߤߩŒวߦߪ‫ޔ‬͊කߩᜰ␜ߦᓥ޿‫ޔ‬
୘#ߦኻᔕࠍ࿑ࠆ‫ޕ‬
ȝ 37 ȝ
V‹
'㧕)↢*+,Œᣣੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ㧕Œ
2㧕)↢*+,Œᐔᚑ '5 ᐕ࿖1ஜᐽ2ᩕ㙃⺞ᩏႎ๔Œ
3) Miskelly FG.et.al. Infant feeding and allergy. Arch Dis Child '988;63:388-393.
4) Lilja G. et al Effects of maternal diet during late pregnancy and lactation on the development
of atopic disease in infants up to '8 months of on the development. Clin Exp Allergy
'989;'9:473-479.
5)Hide DW. et al.Allergen avoidance in infancy and allergy at 4 years of age.Allergy.
'996;5':89-93.
6)Chandra RK, Singh G, Shridhara B.Influence of maternal diet during lactation and use of formula
feeds on development of atopic eczema in high risk infants.BMJ. '989; 299:228-230.
7㧕Hattevig G. et al. Effects of maternal dietary avoidance during lactation on allergy in
children at '0 years of age. Acta Paediatr. '999;88:7-'2.
8) Chandra RK. et al. Influence of maternal food antigen avoidance during pregnancy and lactation
on incidence of atopic eczema in infants. Clin Allergy '986;'6:563-569.
9) Miskelly FG.et al. Infant feeding and allergy. Arch Dis Child63 '988;388-393.
'0㧕Lilja G,
et al. Effects of maternal diet during late pregnancy and lactation on the
development of atopic disease in infants up to '8 months of on the development. Clin Exp
Allergy '989;'9:473-479.
''㧕FathMagnusson K. et al. Allergy prevention by maternal elimination diet during late
pregnancy. J Allergy Clin Immunol. '992;98:'03-''7.
'2㧕Zeiger RS, Heller S. The development and prediction of atopy in high-risk children: follow-up
at age seven years in a prospective randomized study of combined maternal and infant food
allergen avoidance. J Allergy Clin Immunol. '995;95:''79-''90.
ȝ 38 ȝ
ᅧᆼ೨ߩ૕ဳࠍ⠨ᘦߒߚᦸ߹ߒ޿૕㊀Ⴧട㊂㧔
ᅧᆼ೨ߩ૕ဳࠍ⠨ᘦߒߚᦸ߹ߒ޿૕㊀Ⴧട㊂㧔⥋ㆡ૕㊀Ⴧട㊂
ࠍ⠨ᘦߒߚᦸ߹ߒ޿૕㊀Ⴧട㊂㧔⥋ㆡ૕㊀Ⴧട㊂㧕ߦ
⥋ㆡ૕㊀Ⴧട㊂㧕ߦ
㕖ᅧᆼᤨߩ૕ᩰ߿ᅧᆼਛߩ૕㊀Ⴧട㊂ߦࠃߞߡ‫ޔ‬಴↢ఽߩ૕㊀෸߮ᅧᆼ㜞ⴊ࿶∝୥⟲㧔ᅧᆼਛᲥ
∝㧕‫ޔ‬Ꮲ₺ಾ㐿‫ޔ‬ಽᇂᤨ಴ⴊ╬ߩ⁁ᴫߦ⋧㆑߇ߺࠄࠇࠆ‫ޕ‬
㕖ᅧᆼᤨߦ‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߦޠ‬ዻߔࠆ⠪ߪ‫ޔ‬ૐ಴↢૕㊀ఽಽᇂ 㧕2㧕߿ሶችౝ⢝ఽ⊒⢒ㆃᑧ㧔IUGR㧕
‫ޔ‬ಾㄼᣧ↥߿ᣧ↥
2㧕3㧕
㧕2㧕4㧕
‫ⴊ⽺ޔ‬
ᄢఽಽᇂ ‫ޔ‬Ꮲ₺ಾ㐿ಽᇂ
7㧕
㧕
ߩ࡝ࠬࠢ߇㜞߹ࠅ‫ޔ‬
‫ޟ‬⢈ḩ‫ߦޠ‬ዻߔࠆ⠪ߪ‫♧ޔ‬ዩ∛
‫ޔ‬ᅧᆼ㜞ⴊ࿶∝୥⟲㧔ᅧᆼਛᲥ∝㧕
5㧕6㧕8㧕
߿Ꮒ
5㧕6㧕7㧕
ߩ࡝ࠬࠢ߇㜞߹ࠆ‫ޕ‬
5㧕㧙0㧕
߹ߚ‫ޔ‬ᅧᆼᦼߦ૕㊀Ⴧട㊂߇⪺ߒߊዋߥ޿႐วߦߪ‫ޔ‬ૐ಴↢૕㊀ఽಽᇂ 㧕㧙3㧕߿ಾㄼᵹ↥ 0㧕‫ޔ‬ಾ
ㄼᣧ↥
0㧕
ߩ࡝ࠬࠢ߇㜞߹ࠅ‫ޔ‬૕㊀Ⴧട㊂߇⪺ߒߊᄙ޿႐วߦߪ‫ޔ‬೨ᦼ⎕᳓
4㧕
߿ᅧᆼ㜞ⴊ࿶∝୥⟲
㧔ᅧᆼਛᲥ∝㧕0㧕4㧕‫ޔ‬Ꮒᄢఽಽᇂ 6㧕5㧕‫ޔ‬Ꮲ₺ಾ㐿ಽᇂ 8㧕5㧕6㧕‫ޔ‬ಽᇂᤨߩ಴ⴊ㊂ㆊᄙ 7㧕‫⟠ޔ‬᳓ᷙỘ࡮
⢝ఽᔃᜉᢙ⇣Ᏹ 5㧕ߩ࡝ࠬࠢ߇㜞߹ࠆ‫ޕ‬
਄⸥ߩฦ⒳⺞ᩏ⎇ⓥ 㧕㧙2㧕ߩಽᨆ࡮ᬌ⸛ࠍ〯߹߃ࠆߣ‫ޔ‬ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ૕㊀Ⴧട㊂ߪ‫ޔ‬
૕ᩰ඙ಽ߇‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߩޠ‬႐วߪ 9㨪2kg‫ޔ‬
‫ߩޠ߁ߟ߰ޟ‬႐วߪ 7㨪2kg‫ޔ‬
‫ޟ‬⢈ḩ‫ߩޠ‬႐ว‫ޔ‬୘
೎ߦኻᔕߒߡ޿ߊ㧔⴫ 5㧕
‫ޔߚ߹ޕ‬૕㊀ߩᄌൻߦߟ޿ߡ߽‫ޔ‬ฦ⒳⺞ᩏ⎇ⓥ 2㧕20㧕23㧙3㧕ߩಽᨆ࡮ᬌ⸛ࠍ
〯߹߃‫ޔ‬ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅޿ߡߪ ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂ࠍ⋡቟ߣߒ‫ⷰߦ⊛ᤨ⚻ޔ‬ኤ‫ޔ‬
⹏ଔߒߡ޿ߊ㧔⴫ 6㧕‫ޕ‬
ߥ߅‫ޔ‬ᅧᆼೋᦼߦߟ޿ߡߪ૕㊀Ⴧടߦ㑐ߔࠆ೑↪น⢻ߥ࠺࡯࠲߇ਲߒ޿ߎߣߥߤ߆ࠄ‫ ޔ‬ㅳ㑆޽
ߚࠅߩផᅑ૕㊀Ⴧട㊂ߩ⋡቟ࠍ␜ߒߡ޿ߥ޿ߚ߼‫⥃ߩߤߥࠅࠊߟޔ‬ᐥ⊛ߥ⁁ᴫࠍ〯߹߃‫ޔ‬୘೎ߦኻ
ᔕߒߡ޿ߊߎߣ߇ᦸ߹ߒ޿‫ޔߚ߹ޕ‬૕㊀Ⴧടߪ୘ੱᏅ߇ᄢ߈޿ߩߢ‫ޔ‬㘩੐㊂߿り૕ᵴേߩ㊂ߦ߽㈩
ᘦߒߥ߇ࠄ‫⋡ߥ⊛৻↹ޔ‬ᮡࠍ⋡ᜰߔߎߣߩߥ޿ࠃ߁ߦ⇐ᗧߔࠆ‫ޕ‬
⴫ 5 ૕ᩰ඙ಽ೎ ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ
ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ૕㊀Ⴧട㊂
ផᅑ૕㊀Ⴧട㊂
૕ᩰ඙ಽ
ផᅑ૕㊀Ⴧട㊂
ૐ૕㊀㧔߿ߖ㧕㧦㧮㧹㧵8.5ᧂḩ
9㨪2kg
߰
߁㧦㧮㧹㧵8.5એ਄25.0ᧂḩ
7㨪2kg۲
ḩ㧦㧮㧹㧵25.0એ਄
୘೎ኻᔕ۲2
⢈
ߟ
࡮૕ᩰ඙ಽߪ㕖ᅧᆼᤨߩ૕ᩰߦࠃࠆ‫ޕ‬
࡮BMI㧔Body Mass Index㧕
㧦૕㊀(kg)/り㐳(m)2
۲
૕ᩰ඙ಽ߇‫ߩޠ߁ߟ߰ޟ‬႐ว‫ޔ‬BMI ߇‫ޟ‬ૐ૕㊀㧔߿ߖ㧕
‫ߦޠ‬ㄭ޿႐วߦߪផᅑ૕㊀Ⴧട
㊂ߩ਄㒢஥ߦㄭ޿▸࿐ࠍ‫ޔ‬
‫ޟ‬⢈ḩ‫ߦޠ‬ㄭ޿႐วߦߪផᅑ૕㊀Ⴧട㊂ߩਅ㒢஥ߦૐ޿▸
࿐ࠍផᅑߔࠆߎߣ߇ᦸ߹ߒ޿‫ޕ‬
۲2
BMI ߇ 25.0 ࠍ߿߿⿥߃ࠆ⒟ᐲߩ႐วߪ‫ ߘࠃ߅߅ޔ‬5kg ࠍ⋡቟ߣߒ‫ࠆ߃⿥ߊߒ⪺ޔ‬႐
วߦߪ‫ࠍ╬ࠢࠬ࡝ߩઁޔ‬⠨ᘦߒߥ߇ࠄ‫⥃ޔ‬ᐥ⊛ߥ⁁ᴫࠍ〯߹߃‫ޔ‬୘೎ߦኻᔕߒߡ޿ߊ‫ޕ‬
ȝ 39 ȝ
⴫ 6 ૕ᩰ඙ಽ೎ ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆
ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆޽
߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂
ߚࠅߩផᅑ૕㊀Ⴧട㊂
૕ᩰ඙ಽ
ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂
ૐ૕㊀㧔߿ߖ㧕㧦㧮㧹㧵8.5ᧂḩ
0.3㨪
0.3㨪0.5kg
0.5kg/
kg/ㅳ
߰
0.3㨪
0.3㨪0.5kg
0.5kg/
kg/ㅳ
ߟ
⢈
߁㧦㧮㧹㧵8.5એ਄25.0ᧂḩ
ḩ㧦㧮㧹㧵25.0એ਄
୘೎ኻᔕ
࡮૕ᩰ඙ಽߪ㕖ᅧᆼᤨߩ૕ᩰߦࠃࠆ‫ޕ‬
࡮BMI㧔Body Mass Index㧕
㧦૕㊀(kg)/り㐳(m)2
࡮ᅧᆼೋᦼߦߟ޿ߡߪ૕㊀Ⴧടߦ㑐ߔࠆ೑↪น⢻ߥ࠺࡯࠲߇ਲߒ޿ߎߣߥߤ߆ࠄ‫ޔ‬
ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂ߩ⋡቟ࠍ␜ߒߡ޿ߥ޿ߚ߼‫⥃ߩߤߥࠅࠊߟޔ‬ᐥ⊛ߥ⁁
ᴫࠍ〯߹߃‫ޔ‬୘೎ߦኻᔕߒߡ޿ߊ‫ޕ‬
ᅧᆼਛߩ૕㊀Ⴧട㊂ߪᲣ੃ߩ⢽⢌Ớᐲߦ߽ᓇ㗀
Უ੃ߩ⢽⢌Ớᐲߪᅧᆼਛߩᦨᄢ BMI ߣᒝ޿ᱜߩ⋧㑐߇ߺࠄࠇࠆ‫ޕ‬ᅧᆼਛߩᦨᄢ BMI ߪᅧ
ᆼ೨ߩ૕㊀ߣᅧᆼਛߩ૕㊀Ⴧട㊂ߦࠃࠅ᳿ቯߔࠆߎߣ߆ࠄ‫ޔ‬᝼੃ᦼએ೨ߩ⫾Ⓧ⢽⢌߇Უ੃
ߩ⢽⢌Ḯߣߒߡఝవߔࠆߎߣ߇␜ໂߐࠇߡ޿ࠆ
‫ޕ‬Უ੃ߩ⢽⢌ߪ੃ఽߩࠛࡀ࡞ࠡ࡯߿ᔅ㗇
32㧕
⢽⢌㉄㧔23 㗁ෳᾖ㧕ߩଏ⛎Ḯߣߒߡ㊀ⷐߢ޽ࠆߎߣ߆ࠄ‫ޔ‬ᅧᆼਛߩ૕㊀Ⴧടߦኻߔࠆᭂ┵
ߥ೙㒢ߪᅢ߹ߒߊߥ޿‫ޕ‬
ᢥ₂
㧕Sebire NJ, Jolly M, Harris J, Regan L, Robinson S. Is maternal underweight really a risk
factor for adverse pregnancy outcome? A population-based study in London. BJOG
200;08:6-66.
2㧕Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive in
pregnancy, and adverse pregnancy outcomes. Am J Obstet Gynecol 2003;89:726-730.
3㧕Spinillo A, Capuzzo E, Piazzi G, Nicola S, Colonna L, Iasci A. Maternal high-risk
factors and severity of growth deficit in small for gestational age infants. Early Hum Dev
994;38:35-43.
4㧕Schieve LA, Cogswell ME, Scanlon KS, Perry G, Ferre C, Blackmore-Prince C, Yu SM, Rosenberg
D. Prepregnancy body mass index and pregnancy weight gain: associations with preterm
delivery. The NMIHS Collaborative Study Group. Obstet Gynecol 2000;96:94-200.
5㧕 Murakami M, et al. Prepregnancy body mass index as an important predictor of perinatal
outcomes in Japanese. Archives of Gynecology and Obstetrics 2005; 27:3-35.
6㧕Edwards LE, Hellerstedt WL, Alton IR, Story M, Himes JH. Pregnancy complications and birth
outcomes in obese and normal-weight women: effects of gestational weight change. Obstet
Gynecol 996;87:389-394.
7㧕Baeten JM, Bukusi EA, Lambe M. Pregnancy complications and outcomes among overweight and
obese nulliparous women. Am J Public Health 200;9:436-440.
ȝ 3: ȝ
8㧕Young TK, Woodmansee B. Factors that are associated with cesarean delivery in a large private
practice: the importance of prepregnancy body mass index and weight gain. Am J Obstet Gynecol
2002;'87:3'2-3'8.
9㧕Žᚑ, 7Œ⢈ḩᅧᇚߦ߅ߌࠆᅧᆼߩ૕㊀Ⴧട㊂ߣ↥⑼ว∝ߦߟ޿ߡ. \ᕈ‘↢
'985;26:53-55.
'0㧕’“”, •Ž–—Œᅧᆼว∝ߩ˜™Oሶ-⢈ḩߣᅧᆼว∝Œ↥⑼ߣᇚੱ⑼ '998;6: 793-799.
''㧕Rondo PH, Abbott R, Rodrigues LC, Tomkins AM. The influence of maternal nutritional facters
on intrauterine growth retardation in Brazil. Paediatr Perinat Epidemiol '997;'':'52-'66.
'2)Wong W, Tang NL, Lau TK, Wong TW. A new recommendation for maternal weight gain in Chinese
women. J Am Diet Assoc 2000;'00:79'-796.
'3)਄Žᐽš, ›œž, Ÿ ¡Œ\૕૕㊀▤Ìߩ¢ࠬ£ࠢ¤ߥᜰšߣߒߡߩᅧᆼ '6 ¥૕㊀Ⴧ
ട㊂ߩqžߦ ߔࠆᬌ⸛ ᣣ↥ᇚ¦‫ޓ‬200';53㧦980-988.
'4)Ž§, ¨©ªሶŒᅧᇚߩ૕㊀ჇടߣߘߩᅧᆼJಽJ⢝ఽ⊒x߳ߩᓇ㗀ߦߟ޿ߡŒ↥ᇚੱ⑼Š≮
'975;3':646-655.
'5)Johnson JW, Longmate JA, Frentzen B. Excessive maternal weight and pregnancy outcome. Am
J Obstet Gynecol '992;'67:353-70; discussion 370-372.
'6)«¬ઍ, ­®ߖߟሶ, ë ¯°ࠛ,7Œಽɱࠍ²³ߔࠆ⻉Oሶߩᬌ⸛(´ ' ႎ) ᅧ↥ᇚߩ૕㊀
߇ಽߦ෸ߔᓇ㗀ߦߟ޿ߡŒ↥⑼ߣᇚੱ⑼ '987;54:'85'-'855.
'7)µŽ,, 7Œ⢈ḩᅧᇚߩᩕ㙃▤Ìߦ ߔࠆၮ¶⊛,·¸⊛⎇ⓥŒᣣ↥ᇚ¦ '992;44:229-236.
'8)ŽᚑŒᅧᆼ૕㊀Ⴧട㊂ߦᓇ㗀ࠍ෸ߔⷐO¹߮ߦno૕㊀Ⴧടᅧᇚߩ▤Ìߦ ߔࠆ⎇ⓥŒº
කᄢ¦ '984;42:355-368.
'9).ᱜ»Œ‫ޟ‬ᅧᆼ∝ߩᩕ㙃▤Ìᜰ㊎<ฦ⒳¼½¨©ળî࡯¾࡯>‫ޠ‬,ᣣ↥ᇚ'999;5':N507-508.
20)¿À—Œᅧᆼߩ\૕૕㊀Ⴧട㊂ߣᅧᆼòÁߣߩ ÁŒᐔᚑ'6ᐕ˜)↢*+⑼ቇ⎇ⓥÂ9:Ã㧔ሶ
ߤ߽FG,ว⎇ⓥ੐Ä*ÍÅ⎇ⓥ⠪ •ÆÇÈ㧕
‫޿⧯ޟ‬ᅚᕈߩ㘩↢ᵴߪߎߩ߹߹ߢ⦟޿ߩ߆É<Êઍ
ߩஜᐽࠍ⠨ߦ౉ࠇߚᩕ㙃ቇ2„…කቇ⊛ᬌ⸛‫ޠ‬ႎ๔Ë ಽÌ⎇ⓥႎ๔Ë.
2')Hytten FE. Weight gain in pregnancy. InDClinical Physiology in ObstetricsE. Blackwell
Science, Oxford '990.
22)Í਄ΊŒᅧᆼJಽJ↥Ï⚻nߩ\૕૕㊀ߩᄌ¬ߣߘߩ·¸Œ↥ᇚੱ⑼Š≮ '976;33:88-9'.
23)Щ¨Ñሶ, 7Œᅧᆼ\૕૕㊀Ⴧട㊂ߦ ߔࠆᬌ⸛Œ\ᕈ‘↢ '977;'7:85-89.
24)Institute of Medicine. Subcommittee on Nutritional Status and Weight Gain in
Pregnancy. Nutrition during pregnancy: part Ò, weight gain. National Academy Press,
Washington D.C. '990.
25)Abrams B, Carmichael S, Selvin S. Factors associated with the pattern of maternal
weight
gain during pregnancy. Obstet Gynecol '995;86:'70-'76.
26)Abrams B, Selvin S. Maternal weight gain pattern and birth weight. Obstet Gynecol
'995;86:'63-'69.
27)Strauss RS and Dietz WH. Low maternal weight gain in the second or third trimester increases
the risk for intrauterine growth retardation. J Nutr '999;'29:988-993.
ȝ 41 ȝ
28)Muscati SK, Gray-Donald K, Koski KG. Timing of weight gain during pregnancy: promoting fetal
growth and minimizing maternal weight retention. Int J Obes Relat Metab Disord
996;20:526-532.
29)Hickey CA, Cliver SP, Goldenberg RL, Kohatsu J, Hoffman HJ. Prenatal weight gain, term birth
weight, and fetal growth retardation among high-risk multiparous black and white women.
Obstet Gynecol 993;8:529-535.
30)Thame M, Osmond C, Bennett F, Wilks R, Forrester T. Fetal growth is directly related to
maternal anthropometry and placental volume. Eur J Clin Nutr 2004;58:894-900.
ȝ 42 ȝ
Უ੃⢒ఽߩᗧ⟵
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಴↥ᓟߩ\૕ߩ࿁Çࠍ€߼ࠆ‫ޔ‬Ü\ሶÝ Áߩ⦟øߥiᚑߦÞcߟ‫ޔ‬ߑ↢⊛‫⚻ޔ‬à⊛ߢv[߽
߆߆ࠄߥ޿ߥߤ߇޽ࠅ‫ޔ‬ᩕ㙃‫|ޔ‬3‫…ߦ߮ࠄߥޔ‬Ìߦ߅޿ߡ߽‫ߩߘޔ‬qžߪᄢ߈޿‫ޕ‬಴↥ᓟߪ\
੃߇චಽߦಽáߐࠇࠆࠃ߁ߦᅧᆼ߆ࠄㆡಾߥ੃â▤Ìࠍ…߇ߌ‫੃\ޔ‬xఽ߳ߩqãࠍ߼ࠆ‫ޕ‬
᝼੃ᦼߩ㘩੐
᝼੃ᦼߩ㘩੐
಴↥ᓟ‫ޔ‬᝼੃ᇚߪ\੃ಽáߦࠃࠅ‫ޔ‬äÂࠛࡀ࡞ࠡ࡯ࠍჇᄢߐߖࠆߎߣߪᷫ㊂ߦÞcߟ‫ޕ‬᝼੃ᇚߪ
Žߥåࠅ\੃ᩕ㙃ࠍ{|ߒ‫↥ޔ‬ᓟ 6 ߆᦬ࠍ⋡቟ߦšḰ૕㊀æŸ (m)èŸ (m)è22é
㧔kg㧕ߦㄭߠ
ߌࠆࠃ߁ߦ‫†࡯ࠡ࡞ࡀࠛޔ‬ട㊂ࠍ⺞▵ߔࠆᔅⷐ߇޽ࠆ‫ޕ‬ಽߦࠃࠆŸ૕ߩäêࠍ9޿‫੃\ޔ‬ಽáࠍ
{|ߢ߈ࠆ⁁&ࠍ଻ߟߚ߼ߦ‫ޔ‬૕㊀ߩᄌൻࠍ⏕⹺ߒߥ߇ࠄ‫ޔ‬㘩੐㊂ࠍ⷗Yߒߡ޿ߊߎߣ߇ၮߣߥ
ࠆ‫ޕ‬
߹ߚ‫ޔ‬ᅧᆼߦߪ૕º»ࠍᄙߊëߒ‫ޔ‬᝼੃ᦼߦߪ㘩੐߆ࠄߩº»៨ข㊂߇wߥ޿ᅚᕈߩᣇ߇‫ޔ‬
\੃߳ߩࠛࡀ࡞ࠡ࡯=ⴕ㊂߇ᄙ޿ߎߣ߇~ࠄ߆ߦߐࠇߡ޿ࠆ
'㧕
‫ޔߪࠇߎޕ‬᝼੃ᇚߪ૕㊀ࠍᷫwߐߖ
ߡᅧᆼ೨ߩ૕㊀ߦjߔߎߣ߇ߢ߈ࠆߚ߼ߦว⋡⊛ߢ޽ࠆ‫ߩ੃\ޔߒ߆ߒޕ‬ᔅ캻㉄ߪ‫ޔ‬㘩੐í
î߆ࠄߩߺߢ޽ࠅ‫ߩ੃\ޔ‬º»㉄⚵ᚑߪ㘩੐º»ߩº»㉄⚵ᚑࠍïðߔࠆߎߣ߆ࠄ‫ޔ‬dñߥº»³
åߪ߆߃ߞߡø߹ߒߊߥ޿‫ޔߢߎߘޕ‬᝼੃ᦼߦߪº»ߩno៨ขࠍòߌࠆ߇‫ߩ੃\ޔ‬ᔅ캻㉄
ࠍóôߔࠆߚ߼ߦÔíîߩ n-3 ĺ»㉄㧔EPA ߿ DHA ߥߤ,23 õෳ㧕ߩ៨ข߇ផᅑߐࠇࠆ‫ޕ‬
ߥ߅‫߇੃\ޔ‬චಽߦಽáߐࠇࠆߚ߼ߦߪ‫࡯ࠡ࡞ࡀࠛޔ‬㊂ߣߣ߽ߦ‫ߚޔ‬Ïqߊp‫ޔ࡞ޔ‬
ߥߤߩᔅⷐ㊂߇⏕଻ߐࠇߚ㘩੐ߦߥࠆࠃ߁‫ޔ‬ਅåߦ␜ߒߚËÌߩ⒳#ߣ㊂ࠍ⋡቟ߣߒ‫ޔ‬㘩੐ߩ
ࠬߦ€ߔࠆ‫ޕ‬
਎!඿!‫ܢ‬
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ȼˍ
ȼˍ
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࿑ 8 ‫ޟ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޠ‬
ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ࠆߌ߅ߦޠ‬᝼੃ᦼߩઃട㊂ߦߟ޿ߡ
ȝ 43 ȝ
ᢥ₂
㧕☨ጊ੩ሶ‫ޔ‬ᳰ↰㗅ሶ㧚ᅧᆼਛ߅ࠃ߮᝼੃ਛߩᩕ㙃⁁ᴫ߇Უ੃ᚑಽ߳෸߷ߔᓇ㗀‫ޔ‬ዊఽ଻ஜ⎇ⓥ‫ޔ‬62
‫ޔ‬2003‫ޔ‬33-340.
2㧕Harzer G, Dieterich I, Haug M. Effects of the diet on the composition of human milk. Ann
Nutr Metab 984; 28: 23-239.
ȝ 44 ȝ
ᅧᆼᦼ
ᅧᆼᦼ࡮᝼੃ᦼߪ⑌ᾍߒ‫ޔ‬ฃേ༛ᾍ㒐ᱛߩߚ߼ߦ๟࿐߽දജࠍ
࡮᝼੃ᦼߪ⑌ᾍߒ‫ޔ‬ฃേ༛ᾍ㒐ᱛߩߚ߼ߦ๟࿐߽දജࠍ
ᅧᆼᦼߩ༛ᾍߩᓇ㗀
ߚêߎߩöߦߪªኂâp߇yᄙߊ߹ࠇߡ޿ࠆ‫ޕ‬Íߥªኂâpߣߒߡ⍮ࠄࠇߡ޿ࠆ߽ߩߦߪ‫÷ޔ‬
î‫㉄৻ޔ‬ൻø⚛߇޽ࠆ‫÷ޕ‬îߪ▤ࠍfùߐߖߡ‫ޔ‬ሶú⢝hûüý㊂ࠍᷫwߐߖࠆ‫߹ޕ‬
ߚ‫㉄৻ޔ‬ൻø⚛ߪýߩ㉄⚛óþࠍૐਅߐߖ‫⚵ޔ‬V߳ߩ㉄⚛ߩ಴ࠍኂߔࠆߚ߼ߦ‫ޔ‬⢝ఽߪ
ૐ㉄⚛⁁&ߣߥࠆ‫ߩࠄࠇߎޕ‬ᓇ㗀ߢ‫ޔ‬⢝ఽߪ૕㊀Ⴧട߇zࠄࠇࠆ‫ߦ„৻ޕ‬ö⠪ߩᅧᇚߪö
⠪ߩᅧᇚߦߴ‫ޔ‬ሶߤ߽ߩ಴↢૕㊀ߪᐔ 200g wߥߊ‫ޔ‬ૐ಴↢૕㊀ఽ߇↥߹ࠇࠆ˜ߪ; 2 ޿
ߣႎ๔ߐࠇߡ޿ࠆ㧔࿑ 9㧕'㧕‫ޔߚ߹ޕ‬ᅧᇚߩöߦࠃࠅ‫ޔ‬G↥ߩ⊒↢3ߪ; 2 ‫↥€ޔ‬3ߪ; '.5
‫
^ᦼ↥ޔ‬3ߪ; '.4 ߊߥࠆߣ޿ࠊࠇߡ޿ࠆ 2㧕㧔࿑ '0㧕‫ޕ‬
Ë*Hopkinson JM, et al:Milk production by mothers of premature infants, influence of
cigarette smoking. Pediatrics 90: 934-938, 1992
᝼੃ᦼߩ༛ᾍߩᓇ㗀
öߔࠆ᝼੃ᇚߩ੃eùߦኻߔࠆ¢ࠢ˜ߩᄌൻࠍuߒߚ⎇ⓥߦࠃࠆߣ‫ޔ‬
ö⠪ߦߴߡö⠪ߩöᓟߩ¢ࠢಽáߪߒ‫ߩߘޔ‬㊂߽ᷫwߒߡ޿ߚߣ޿߁ 3㧕‫ޕ‬
ߎࠇߪ‫ޔ‬᝼੃ᦼߩ¹ࠍ↪޿ߚታ߆ࠄ‫÷ޔ‬îߦࠃࠆ¢ࠢಽá²³ߩᓇ㗀ߢ޽
ࠆߣ⠨߃ࠄࠇߡ޿ࠆ 4㧕‫ޕ‬
ȝ 45 ȝ
ߐࠄߦ‫ ޔ‬ᣣߦ 4 ᧄએ਄ߩ༛ᾍࠍߒߡ޿ࠆ᝼੃ᇚߪ‫ޔ‬㕖༛ᾍߩ᝼੃ᇚߦᲧߴߡᲣ੃ಽᴲ㊂ߪ 0㨪
20㧑ૐਅߒ‫ߩߘޔ‬ૐਅߪ༛ᾍ㊂߇ᄙ޿߶ߤ⪺ߒ޿ߎߣ߇᣿ࠄ߆ߦߐࠇߡ޿ࠆ 5㧕‫ޔߚ߹ޕ‬ᐔᚑ㧞ᐕ੃
ᐜఽり૕⊒⢒⺞ᩏ⚿ᨐߦ߅޿ߡ߽‫ޔ‬༛ᾍ⠪ߩᲣ੃ಽᴲ㊂ߪ㕖༛ᾍ⠪ߦᲧߴߡᷫዋߒߡ޿ࠆߎߣ߇ႎ
๔ߐࠇߡ޿ࠆ 6㧕㧔࿑ 㧕‫ޕ‬
৻ᣇ‫ߦఽ੃ޔ‬ኻߔࠆ࠾ࠦ࠴ࡦߩ⋥ធߩᓇ㗀ߣߒߡߪ‫ ޔ‬ᣣ 20 ᧄએ਄༛ᾍߔࠆ᝼੃ᇚߩ࠾ࠦ࠴ࡦ㊂
ߩᄙ޿Უ੃ࠍਈ߃ࠄࠇߚ੃ఽߪ‫ޔ‬ཌྷฯ‫ޔ‬ਅ∯‫ޔ‬⣂ᜉჇട‫޿ߣࠆࠇ⃻߇⁁∝ߩߤߥ޿ߥ߇߈⌕ߜ⪭ޔ‬
߁ 7㧕‫ޕ‬
Უⷫߩⴊᶧਛߩ࠾ࠦ࠴ࡦỚᐲߪ‫ߩࠄ⥄ޔ‬༛ᾍએᄖߦ߽‫ޔ‬ῳⷫߥߤ↢ᵴࠍ౒ߦߔࠆኅᣖߩ༛ᾍߦࠃ
ࠆฃേ༛ᾍߦࠃߞߡ߽᦭ᗧߦჇടߔࠆ‫ޔߚ߹ޕ‬ῳᲣߩ༛ᾍߦࠃࠅ‫੃ޔ‬ᐜఽߩฃേ༛ᾍ߽໧㗴ߣߥࠆ‫ޕ‬
㕖༛ᾍߩਔⷫߦᲧߴ‫ޔ‬ਔⷫ߇༛ᾍߔࠆኅᐸߩዊఽ๭ๆེ∔ᖚߩ㗫ᐲߪ⚂ 3 ୚ 8㧕ߢ޽ࠆ‫ఽ੃ޔߦࠄߐޕ‬
⓭ὼᱫ∝୥⟲㧔sudden infant death syndrome : SIDS㧕ߩ㗫ᐲߪ‫㉕ⷡߩఽ੃ޔ‬෻ᔕࠍㆃᑧߐߖࠆߚ
߼ߦ⚂ 5 ୚ߩ㜞₸ 9㧕ߢ޽ࠆߎߣ߇᣿ࠄ߆ߦߐࠇߡ޿ࠆ‫ޕ‬
㧔ml㧕
⾗ᢱ㧦ෘ↢ഭ௛⋭ ᐔᚑ 2 ᐕ੃ᐜఽり૕⊒⢒⺞ᩏ⚿ᨐ
࿑ Უⷫߩ༛ᾍ⠌ᘠߣᴲ੃㊂
ᅧᆼᦼ
ᅧᆼᦼ࡮᝼੃ᦼߦߪ⑌㈬ࠍ
ᅧᆼᦼߩ㘶㈬ߩᓇ㗀
ᅧᆼᦼߦࠕ࡞ࠦ࡯࡞ࠍᏱ↪ߔࠆߣ‫ޔ‬⍮⢻㓚ኂ‫⊒ޔ‬⢒㓚ኂࠍ઻߁⢝ఽᕈࠕ࡞ࠦ࡯࡞∝୥⟲ߩሶߤ߽
߇↢߹ࠇࠆน⢻ᕈ߇㜞߹ࠆ‫ޕ‬ᚒ߇࿖ߩ⎇ⓥߢߪ‫ޔ‬㨪2 ਁੱߩ಴↢ߦ ੱߣ⠨߃ࠄࠇߡ޿ࠆ 0㧕-2㧕‫ޕ‬
⣖ߩᒻᚑ⇣Ᏹߦኻߒߡߪࠕ࡞ࠦ࡯࡞ߦߚ߫ߎ߇ടࠊࠆߣჇᒝߐࠇࠆߎߣ߇‫ޔ‬േ‛ታ㛎ߢ⏕⹺ߐࠇߡ
޿ࠆ )‫ޕ‬
߹ߚ‫ޔ‬⢝ఽᕈ࡞î࡯࡞∝ߪ‫ 'ޔ‬ᣣߦ࡞î࡯࡞㧔ࠛk࡯࡞¢㧕60ml ¤਄ߩ៨ขߢ
˜ߩ⊒∝߇⹺߼ࠄࠇߡ޿ࠆ '2㧕‫࡞ޕ‬î࡯࡞ 60ml ߪ; 50g ߦRߒ‫ޔ‬j࡯࡞ߢߪ; 2.5 㧔'250ml㧕
‫ ;ߪߢޔ‬2 ว㧔400ml㧕
‫ ;࡞¸ߪߢ࡯¯ࠬ
ޔ‬2.5 㧔'50ml㧕‫ߪߢ
ޔ‬çࠬ
; 4 㧔500ml㧕ߦRߔࠆ‫ޕ‬ùߦࠃࠆ⇣Ᏹߩ߁Þ‫ޔ‬hiߪᅧᆼsᦼߦ‫߿⊒ޔ‬N␹⚻Äߩ
¾ਇƒߪᅧᆼuᦼߩùߣ !߇޽ࠆ‫ޕ‬
᝼੃ᦼߩ㘶㈬ߩᓇ㗀
ࠕ࡞ࠦ࡯࡞ߪ㘶㘩ᓟ 30㨪60 ಽᓟߦⴊᶧਛߩỚᐲߪᦨᄢߦߥࠆߣ޿ࠊࠇ‫ޔ‬
Უ૕ⴊਛỚᐲߩ 90㨪95㧑
߇Უ੃ߦᬌ಴ߐࠇ‫ޔ‬㘶㈬㊂ߩᐔဋ 2.0r0.2㧑߇੃ఽߦ⒖ⴕߔࠆ 3㧕‫ޔߚ߹ޕ‬㐳ᦼߦࠊߚࠆ㘶㈬߿㘶㈬
㊂߇ᄙ޿႐วߦߪ‫ޔ‬༛ᾍᓟߣห᭽ߦ੃ఽߩๆߡߟೝỗߦࠃࠆࡊࡠ࡜ࠢ࠴ࡦߩಽᴲ㊂ߩૐਅߦࠃࠆᲣ
੃ಽᴲ㊂ߩᷫዋ߇ⷰኤߐࠇ‫⚿ߩߘޔ‬ᨐߣߒߡ੃ఽߩᚑ㐳߇ᛥ೙ߐࠇߚߣ޿߁ႎ๔߽޽ࠆ 4㧕‫ޕ‬
ȝ 46 ȝ
ᢥ₂
㧕Hopkinson JM, et al:Milk production by mothers of premature infants, influence of cigarette
smoking. Pediatrics 992;90: 934-938.
2㧕Meyer MB:Effects of maternal smoking and attitude on birth weight and gestation. In Reed
DM,Stanley FJ (ed) :The Epidemiology of Prematurity, Urban and Schwartzenberg, Munich,
977;8-84.
3㧕Andersen AN, Lund-Andersen C, Larsen JF, Christensen NJ, Legros JJ, Louis F, Angelo H, Molin
J: Suppressed prolactin but normal neurophysin levels in cigarette smoking breast-feeding
women. Clin. Endocrinol. 982;7:363-368.
4㧕Blake CA, Sawyer CH: Nicotine block the suckling-induced rise in circulating prolactin in
lactating rats. Science, 972;77:69-62.
5㧕Vio F, Salazar G, Infante C: Smoking during pregnancy and lactation and its effects on
breast-milk volume. Am. J. Clin. Nutr. 99;54:0-06.
6㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 2 ᐕ੃ᐜఽり૕⊒⢒⺞ᩏ⚿ᨐ㧚
7㧕Bisdorn CTW: Alcohol and nicotine poisoning in infants. Maandschr Kindergeneeskd
937;6:332-34.
8㧕૒‫⨃ᧁޘ‬㧚 㘶㈬‫ޔ‬༛ᾍߩ⠌ᘠࠍ߽ߟᅧᇚߦኻߔࠆ๟↥ᦼ଻ஜᜰዉ‫ޔ‬๟↥ᦼකቇ 2000;30: 203-207㧚
9㧕೨ựବਯ㧦੃ᐜఽ⓭ὼᱫ∝୥⟲㧔sudden infant death syndrome: SIDS㧕ߣᲣ੃ᩕ㙃‫↥ޔ‬ᇚੱ⑼ߩ
਎⇇‫ޔ‬54 ‫ޔ‬2002;533-536㧚
0㧕↰ਛ᥍⟤‫ޔ‬㜞ፉᢘᔘ‫ޔ‬㚍႐৻㓶‫ઁޔ‬㧦ࠊ߇࿖ߦ߅ߌࠆ⢝ఽᕈࠕ࡞ࠦ࡯࡞∝୥⟲‫ޔ‬ᣣᧄක੐ᣂႎ‫ޔ‬
979;2897㧦27-30㧚
㧕Tanaka H: Brain damage associated with prenatally environmental factors. Proceeding of the
6th International Disabilities, Tokyo, 994;75.
2㧕↰ਛ᥍⟤㧦ᣣᧄߦ߅ߌࠆᲣⷫߩ㘶㈬ߦࠃࠆሶߤ߽ߩ⇣Ᏹߩ⃻⁁‫ޔ‬ᣣᧄක੐ᣂႎ‫ޔ‬995;374㧦45-49‫ޔ‬
995㧚
3㧕Mennella J, Beauchamp G: The transfer of alcohol to human milk. New Eng. J. Med. 325, 98-985.
4㧕Subramanian M, Abol E: Alcohol inhibits suckling-induced prolactin release and milk yield.
Alcohol, 988;5:95-98.
ȝ 47 ȝ
ᔃりߩࠁߣࠅ޽ࠆ↢ᵴࠍ
ᅧᆼᦼ࡮᝼੃ᦼߪࡎ࡞ࡕࡦߩᄌൻߣᔃℂ࡮␠ળ⊛ߥ⁁ᴫߩᄌൻࠍหᤨᦼߦ⚻㛎ߔࠆߚ߼ߦ‫ޔ‬り૕
⊛ߦ߽♖␹⊛ߦ߽ਇ቟ቯߦߥࠅ߇ߜߢ޽ࠆ‫ޔߢߎߘޕ‬㘩੐ߩߣࠅᣇ߿ㆡᐲߥㆇേ‫ޔ‬ભᕷ‫߽ߦ⌁⌧ޔ‬
⠨ᘦߒ‫ޔ‬૕㊀ߩᄌൻߥߤߦߟ޿ߡ߽‫ޔ‬
‫ޔޠ޿ߥࠄߥ߫ࠇߌߥߒ߁ߎޟ‬
‫৻ߥ߁ࠃ߁޿ߣޠ߈ߴࠆ޽߁ߎޟ‬
ᣇ⊛ߥᜰዉߦࠃࠅ‫ޔ‬ᅧ↥ᇚ⥄りߩり૕⊛࡮♖␹⊛ߥ⽶ᜂ߇Ⴧߔߎߣߩߥ޿ࠃ߁‫ޔ‬୘‫⁁ߩޘ‬ᴫࠍ〯߹
߃ߚㆡಾߥ࡜ࠗࡈࠬ࠲ࠗ࡞߇⏕┙ߢ߈ࠆࠃ߁ߦᡰេߔࠆ‫ޕ‬
߹ߚ‫ޔ‬Უⷫߣሶߤ߽߇ஜ߿߆ߥ↢ᵴࠍㅍࠆߚ߼ߦߪኅᣖ߿๟࿐ߩℂ⸃ߣදജ߇ਇนᰳߢ޽ࠆ‫ޕ‬ᅧ
ᆼ࡮಴↥ߦኻߒਇ቟ࠍᛴ޿ߚࠅ‫ޔ‬ᢿ⛯⊛ߥ᝼੃ߢᕁ߁ࠃ߁ߦ⌧⌁߇ߣࠇߥ߆ߞߚࠅ‫ޔ‬ᣣ‫ߩޘ‬㘩੐ߠ
ߊࠅ߇⽶ᜂߦߥߞߚࠅߣ‫↢ߩߢ߹ࠇߘޔ‬ᵴߣߪ⇣ߥࠆਇ቟ቯߥⷐ⚛߽⴫ࠇߡߊࠆߩߢ‫⁁ߚߒ߁ߘޔ‬
ᴫࠍฃߌߣ߼‫ޔ‬ሶߤ߽߿ኅᣖߣߩ᥵ࠄߒࠍᭉߒ߼ࠆࠃ߁ߥᡰេ߇ᔅⷐߣߥࠆ‫ߦࠄߐޕ‬௛ߊᅚᕈ߇‫ޔ‬
቟ᔃߒߡᅧᆼᦼ࡮᝼੃ᦼࠍㆊߏߖࠆࠃ߁‫ޔ‬⡯႐ߩℂ⸃߿␠ળⅣႺߩᢛ஻߽ᔅⷐߢ޽ࠆ‫ޕ‬
ᅧ↥ᇚߩߚ߼ߩ㘩⢒㧖9 ߩ൘߼
ஜ߿߆ߥᔃߣり૕ࠍ⢒߻ߚ߼ߦߪ‫ޔ‬
‫ޟ‬૗ࠍ‫ޠ‬
‫ޠߌߛࠇߤޟ‬㘩ߴࠆ߆ߣ޿߁ߎߣߣߣ߽ߦ‫ޔ‬
‫ޠߟ޿ޟ‬
‫ߤޟ‬
ߎߢ‫ޠߦ߁ࠃߩߤޟޠߣ⺕ޟޠ‬㘩ߴࠆ߆ߣ޿߁ߎߣ߇㊀ⷐߢ޽ࠆ‫ߩߣੱޕ‬㑐ࠊࠅ߽฽߼‫߶ߩࠄࠇߎޔ‬
ߤࠃ޿ࡃ࡜ࡦࠬ߇‫ޔ‬ᔃ࿾ࠃ޿㘩ථࠍ૞ࠅ಴ߒ‫ޔ‬ᔃߩ቟ቯࠍ߽ߚࠄߒ‫ޔ‬ஜᐽߥ㘩⠌ᘠߩၮ␆ߦߥߞߡ
޿ߊ‫ⷫޕ‬ሶߩ㑐ࠊࠅ߇‫ߩߣੱޔ‬㑐ࠊࠅߩ಴⊒ὐߦߥࠅ‫ߩߘޔ‬㑐ࠊࠅߦࠃߞߡ‫ޔ‬቟ᔃᗵ߿ା㗬ᗵ߇⢒
߹ࠇߡ޿ߊߎߣߦߥࠆ‫ޕ‬᝼੃ᦼߦ‫ޔ‬቟ᔃߣ቟ࠄ߉ߩਛߢᲣ੃ࠍ㘶߻ᔃ࿾ࠃߐࠍ๧ࠊ߁ߎߣߦߪߓ߹
ࠅ‫੃ޔ‬ᐜఽᦼ߆ࠄ‫ޟޔ‬ᭉߒߊ㘩ߴࠆሶߤ߽㧖0‫⋡ࠍޠ‬ᮡߦ‫⊒ޔ‬⢒࡮⊒㆐Ბ㓏ߦᔕߓߚ⼾߆ߥ㘩ߩ૕㛎
ࠍⓍߺ㊀ߨߡ޿ߊߎߣߦࠃߞߡ‫↢ޔ‬ᶦߦࠊߚߞߡஜᐽߢ޿߈޿߈ߣߒߚ↢ᵴࠍㅍࠆၮᧄߣߒߡߩ㘩
ࠍ༡߻ജ߇⢒߹ࠇߡ޿ߊ‫ޕ‬
ᅧᆼᦼ࡮᝼੃ᦼߪ‫ޔ‬ᅧ↥ᇚ⥄りߩஜᐽߩ⛽ᜬ࡮Ⴧㅴ߿ሶߤ߽ߩ⊒⢒ߩߚ߼ߦ㊀ⷐߥᤨᦼߢ޽ࠆߣ
ߣ߽ߦ‫ߩߘޔ‬ᓟߦ⛯ߊ⢒ఽߦ߅޿ߡ‫ޔ‬ሶߤ߽ߩ㘩ࠍ༡߻ജࠍ⢒ࠎߢ޿ߌࠆࠃ߁ߦᣣ‫ߩޘ‬㘩੐ౝኈ߿
㘩੐ⅣႺࠍ⦟ᅢߥ⁁ᘒߦᢛ߃ߡ޿ߊߚ߼ߩḰ஻Ბ㓏ߦ޽ࠆ‫ޔߚ߹ޕ‬ㆡಾߥ㘩ຠㆬᛯ߿㘩੐ߩḰ஻ߩ
ߚ߼ߦᔅⷐߥ⍮⼂߿ᛛⴚࠍ߽ߚߥ޿‫ߪ޿ࠆ޽ޔ‬㘩ߦኻߔࠆ⥝๧㨯㑐ᔃ߇ߥ޿ߣ࿁╵ߔࠆ⠪ߩഀว߇
20 ᱦઍ෸߮ 30 ᱦઍߢ․ߦᄙ޿⁁ᴫߦ޽ࠆ㧝㧕㧞㧕‫ޕ‬
‫ޟ‬㘩‫ޔߪޠ‬๧ࠊߞߡ㘩ߴߚࠅ‫ޔ‬㘩੐ࠍ૞ߞߚࠅḰ஻
ࠍߒߚࠅ‫ߩߘޔ‬ਛߢੱߣ㑐ࠊߞߚࠅ‫ޔ‬㘩ߦ㑐ߔࠆᖱႎࠍᓧߡ೑↪ߒߚࠅߣ‫ޔ‬᭽‫ⴕߥޘ‬േߩ⚵ߺวࠊ
ߖߦࠃߞߡ༡߹ࠇࠆ߽ߩߢ޽ࠆ‫ޔߡߒߘޕ‬㘩ߴ‛߿ᢱℂߪ‫ޔ‬࿾ၞ߿ቄ▵‫ޔ‬㘩᧚ߩ⒳㘃߿⺞ℂᣇᴺ╬
ߦࠃߞߡ⇣ߥࠆߣ޿ߞߚࠃ߁ߦታߦᄙ᭽ߥᐢ߇ࠅࠍ߽ߞߡ޿ࠆ‫ޕ‬୘‫⥝߇ੱޘ‬๧࡮㑐ᔃࠍ߽ߜ߿ߔ޿
ߣߎࠈ߆ࠄ‫ޟ‬㘩‫ߩߣޠ‬㑐ࠊࠅࠍᷓ߼ࠆਛߢ‫ޔ‬ஜᐽߥ㘩↢ᵴࠍታ〣ߔࠆߚ߼ߦᔅⷐߥ⍮⼂߿ᛛⴚࠍり
ߦߟߌ‫ޔ‬㘩⢒߳ߩℂ⸃‫ޔ‬ታ〣߳ߣߟߥߍߡ޿ߊߎߣ߇㊀ⷐߢ޽ࠆ‫ޕ‬
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ߎߣࠍߨࠄ޿ߣߔࠆ߽ߩߢ޽ࠆ‫ޕ‬㘩⢒ߪ޽ࠄࠁࠆ਎ઍߩੱ‫ߦޘ‬ᔅⷐߣߐࠇ‫ߦ․ޔ‬ሶߤ߽ߦኻߔࠆ㘩⢒ߪᔃりߩᚑ
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‫ޔߪޠ‬㘩ຠຠߩ⚵วߖߢߪߥߊ‫ޔ‬ËÌߩ⚵วߖࠍ…ߦZ⃻ߔࠆߎ
ߣࠍၮߣߒߡ‫ޕࠆ޿ߡߞߥߣ࡞࡯ߥ⊛ⷞ޿ߔ߿ߺߒⷫ߇߽ޔ‬ታ㓙ߩ㘩੐ࠍ⚵ߺcߡࠆ
㓙ߪ㧝ᣣࠍQߣߒߡࠬࠍ⠨߃ࠆߎߣ߇ታ㓙⊛ߢ޽ࠆߎߣ߆ࠄ‫ޔ‬㧝ᣣߦߣࠆ߅߅ࠃߘߩ
㊂߇îïߩ਄ߩËÌߣߒߡ␜ߐࠇߡ޿ࠆ‫߿࡯ࠡ࡞ࡀࠛޔߒ߆ߒޕ‬ᩕ㙃⚛ߩㆡᱜߥ៨ขߣ޿߁ߎ
ߣߦߟ޿ߡߪ‫ޔ‬㧝ᣣߩߺߩ㘩੐ߢ™§ߢ߈ࠆ߽ߩߢߪߥߊ‫ޔ‬⠌ᘠ⊛ߥ៨ขࠍ޽ࠊߖߡ⠨ߔࠆ
ߎߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬
㘩੐ࠍ®%ߔࠆߦRߚߞߡߪ‫ޔ‚߹ޔ‬ᅧ↥ᇚߩᐕD‫Ÿޔ‬૕⁁ᴫ㧔Ÿ ‫ޔ‬૕㊀‫ޔ‬ᅧᆼ2᝼੃ߩ
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ࠬ਄ߦߪZ⃻ߐࠇߡ޿ߥ޿‫ޔߚ߹ޕ‬ᓟ&ߔࠆࠃ߁
ߦ‫ޔ‬ᅧᆼߦ†ട⊛ߦᔅⷐߣߐࠇࠆߦߟ޿ߡ߽‫ޔ‬
‫ޟ‬㘩੐ࠬ
‫ߢޠ‬é␜ߐࠇߡ޿ࠆ
ËÌߩߺߢߪචಽߥ៨ข߇Éߒ޿‫ߦ>ޔࠄ߆ߣߎߥ߁ࠃߩߘޕ‬ᅧᆼߦ߅޿ߡߪ‫ޔ‬㘩ü៨ขߩ
noߣߥࠄߥ޿ߎߣ‫ޔ‬චಽߥߩ៨ขࠍ⋡ᜰߔߎߣߦߟ޿ߡߪ‫ƒޔ‬૕⊛ߥ㘩੐ߩࠬߦട
߃ߡ‫߇ߣߎࠆߔ€ߦࠄߐޔ‬ᔅⷐߢ޽ࠆ‫ޕ‬
ȝ 4: ȝ
Ԙࠛࡀ࡞ࠡ࡯
ᅧ↥ᇚߩᐕD‫Ÿޔ‬૕ᵴ¬y'࡞߆ࠄߺߚ㧝ᣣߦᔅⷐߥࠛࡀ࡞ࠡ࡯㊂ߦߟ޿ߡ៨ขߩ⋡቟㧔࿑
㧝㧕ࠍෳ⠨ߦ‫޿ߒ߹ᦸޔ‬㘩੐ߩࠛࡀ࡞ࠡ࡯㊂ࠍ0ቯߔࠆ‫ࠍࠇߎޕ‬㧔ᅧᆼ2᝼੃㧕ၮ
㊂ߣߔࠆ‫'ޕ‬8ß49 4ߩᅚᕈߩŒว‫ޔ‬2,000ß2,200kcal ߇ᐔ⊛ߢ޽ࠆߣ⠨߃ࠄࠇࠆ‫ߦ<ޕ‬ᅧ
ᆼ2᝼੃ߩᦼ#㧔ᅧᆼsᦼ'‫ޔ‬ᅧᆼᦼ2‫ޔ‬ᅧᆼuᦼ3‫ޔ‬᝼੃ᦼ㧕ߦ‫†ޔ‬ടߔߴ߈㊂(†ട
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㊂‫ޔ‬᝼੃ᦼߢߪá੃㧔᝼੃ߒߚ\੃㧕Rಽߣ૕㊀ᷫwಽߢ޽ࠆ‫†ޕ‬ട㊂ߪ‫ޔ‬sᦼ'(50kcal‫ޔ‬
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ȝ 51 ȝ
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ȝ 52 ȝ
Ԛฦᢱℂ඙ಽߩ៨ขߩ⋡቟㧔㨬ߟ(SV)㨭㧕ߦࠃࠆᅧᆼᦼ࡮᝼੃ᦼߩઃട㊂ߦߟ޿ߡ
㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ߩᬌ⸛ߦ↪޿ࠄࠇߚਥߥᢱℂ࡮㘩ຠߩ࠺࡯࠲㧔㨬ࡈ࡯࠼ࠟࠗ࠼㧔઒⒓㧕
ᬌ⸛ળႎ๔ᦠ㨭 p.36-4㧕ߦၮߠ߈‫ޔ‬ฦᢱℂ඙ಽߦ߅ߌࠆ㨬SV㨭ᒰߚࠅߩࠛࡀ࡞ࠡ࡯෸߮ᩕ㙃⚛
ࠍ▚಴ߒߚ‫ߩࠄࠇߎޕ‬ᐔဋ୯෸߮ಽᏓ߆ࠄ‫ޔ‬ᅧᆼਛᦼ෸߮ᧃᦼߦ߅޿ߡ㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭
ߩ㨬ߟ(SV)㨭ࠍ↪޿ߚ႐วߦઃടߐࠇࠆࠛࡀ࡞ࠡ࡯෸߮ਥߥᩕ㙃⚛㊂ࠍផቯߒߚ㧔⴫㧝㧕‫ޕ‬
⴫㧝 㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ࠍ↪޿ߚ႐วߦផቯߐࠇࠆࠛࡀ࡞ࠡ࡯෸߮ᩕ㙃⚛ߩઃട㊂
䉣䊈䊦䉩䊷 (kcal)
䈢䉖䈴䈒⾰(g)
䍀㘩੐䊋䊤䊮䉴䉧䉟䊄䍁䈱SV䈮䉋䉎ઃട㊂
㘩੐៨ขၮḰ䈮䉋䉎ઃട㊂
ᅧᆼਛᦼ
ᅧᆼᧃᦼ෸䈶᝼੃ᦼ ᅧᆼਛᦼ ᅧᆼᧃᦼ ᝼੃ᦼ
ᐔဋ୯ ▸࿐(㫧䋱SD䋩
ᐔဋ୯ ▸࿐(㫧䋱SD䋩
235
㪈28䌾342
5㪈2
333䌾690
250
500
450
8.5
3.8䌾㪈3.2
㪈7.5
9.5䌾25.6
⢽⾰(䌧)
9.6
㪈.8䌾㪈7.5
㪈7.3
0.9䌾33.7
὇᳓ൻ‛(g)
29.8
㪈3.5䌾46.㪈
7㪈.㪈
43.3䌾99
㋕(mg)
2.0
0䌾3.㪈
2.0
0䌾4.2
㪈0
㪈0
㪈3
㪈3
2.5
䉦䊦䉲䉡䊛(mg)
74
0䌾㪈55
㪈94
79䌾3㪈0
䊧䉼䊉䊷䊦ᒰ㊂(㱘gRE)
㪈35
0䌾3㪈2
㪈89
0䌾492
70
70
420
䊎䉺䊚䊮B㪈(mg)
0.㪈9
0.03䌾0.34
0.30
0.03䌾0.56
0.㪈
0.3
0.㪈
䊎䉺䊚䊮B2(mg)
0.㪈7
0.03䌾0.3㪈
0.32
0.05䌾0.59
0.2
0.3
0.4
䊎䉺䊚䊮䌃(mg)
43
0䌾㪈0㪈
43
0䌾㪈07
㪈0
㪈0
50
଀߃߫‫ޔߪߡ޿ߟߦ࡯ࠡ࡞ࡀࠛޔ‬㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ߩ㨬ߟ(SV)㨭ࠍ↪޿ߡ⹥ᒰߔࠆᢱℂ඙ಽ
ࠍઃടߔࠆߣ‫ޔ‬ᅧᆼਛᦼߦߪᐔဋߣߒߡ 235kcal ߩ‫ޔ‬ᅧᆼᧃᦼ෸߮᝼੃ᦼߦߪ 52kcal ߩჇಽ߇
⷗ㄟ߹ࠇࠆ‫ޕ‬ᩕ㙃⚛ߦߟ޿ߡߪ‫ޔ‬㋕એᄖߪᅧᆼ࡮᝼੃ਛߦઃട⊛ߦᔅⷐߣߐࠇࠆ㊂ࠍ߶߷ḩߚߔ
ߣ⠨߃ࠄࠇࠆ‫ޕ‬ᓥߞߡ‫ޔ‬㋕ߦߟ޿ߡߪ‫ޔ‬㘩੐ో૕ߣߒߡߩࡃ࡜ࡦࠬ߳ߩ㈩ᘦߦട߃ߡ‫ޔ‬㨬ᅧ↥ᇚߩ
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䂾 ਄ㇱ䈎䉌䇮චಽ䈭៨ข䈏ᦸ䉁䉏䉎ਥ㘩䇮೽⩿䇮ਥ⩿䈱㗅䈮ਗ䈼䇮‐੃䊶੃⵾ຠ䈫ᨐ‛䈮䈧
䈇䈩䈲䇮ห⒟ᐲ䈫⠨䈋䇮ਗ೉䈮⴫䈚䈩䈇䉎䇯
䂾 ᒻ⁁䈲䇮ᣣᧄ䈪ฎ䈒䈎䉌ⷫ䈚䉁䉏䈩䈇䉎䇸䉮䊙䇹䉕䉟䊜䊷䉳䈚䈩ឬ䈐䇮㘩੐䈱䊋䊤䊮䉴䈏ᖡ䈒䈭
䉎䈫ୟ䉏䈩䈚䉁䈉䈫䈇䈉䈖䈫䉕⴫䈚䈩䈇䉎䇯䉁䈢䇮䉮䊙䈏࿁ォ䈜䉎䈖䈫䈲䇮ㆇേ䈜䉎䈖䈫䉕ㅪᗐ䈘
䈞䉎䈫䈇䈉䈖䈫䈪䇮࿁ォ(ㆇേ)䈜䉎䈖䈫䈮䉋䈦䈩ೋ䉄䈩቟ቯ䈜䉎䈫䈇䈉䈖䈫䉅䇮૬䈞䈩⴫䈜䈖䈫䈫
䈚䈢䇯䈭䈍䇮᳓ಽ䉕䉮䊙䈱ゲ䈫䈚䇮㘩੐䈱ਛ䈪ᰳ䈎䈞䈭䈇ሽ࿷䈪䈅䉎䈖䈫䉕ᒝ⺞䈚䈩䈇䉎䇯
䂾 ၮᧄᒻ䈱䉮䊙䈱䉟䊤䉴䊃䈱ਛ䈮䈲䇮ਥ㘩䇮೽⩿䇮ਥ⩿䇮‐੃䊶੃⵾ຠ䇮ᨐ‛䈱ฦᢱℂ඙ಽ䈮
䈍䈔䉎㪈ᣣ䈮䈫䉎㊂䈱⋡቟䈱ᢙ୯䋨䈧(SV)䋩䈫ኻᔕ䈘䈞䈩䇮䈾䈿ห䈛ᢙ䈱ᢱℂ䊶㘩ຠ䉕␜䈚䈩
䈇䉎䇯
䂾 ᣣᏱ⊛䈭⴫⃻䋨଀䋺䇸䈗䈲䉖(ਛ⋓䉍)䈣䈦䈢䉌䋴᧰⒟ᐲ䇹䋩䉕૬⸥䈜䉎䈖䈫䈮䉋䉍䇮䍀䈧(SV)䍁䉕↪
䈇䈩ᢙ䈋䉎䋱ᣣ㊂䉕䉟䊜䊷䉳䈚ᤃ䈒䈚䈩䈇䉎䇯䈚䈎䈚䇮䈖䉏䉌䈱ᢱℂ䈲ᔅ䈝䈚䉅䋱ᣣ䈱㘩੐䈱䈫
䉍ᣇ䈱ౖဳ଀䉕␜䈚䈢䉅䈱䈪䈲䈭䈒䇮䈬䈱䉋䈉䈭ᢱℂ䈏ฦᢱℂ඙ಽ䈮฽䉁䉏䉎䈎䉕⴫⃻䈜䉎
䈖䈫䈮ਥ⌒䉕⟎䈇䈢䉅䈱䈪䈅䉎䇯⥄ಽ䈏䋱ᣣ䈮ታ㓙䈮䈫䈦䈩䈇䉎ᢱℂ䈱ᢙ䉕ᢙ䈋䉎႐ว䈮䈲䇮
ฝ஥䈱䇺ᢱℂ଀䇻䉕ෳ⠨䈮䇮䋱䈧䇮䋲䈧䈫ᜰ᛬䉍ᢙ䈋䈩䇮䈇䈒䈧䈫䈦䈩䈇䉎䈎䉕⏕䈎䉄䉎䈖䈫䈮䉋
䉍䇮䋱ᣣ䈮䈫䉎⋡቟䈱ᢙ୯䈫Ყ䈼䉎䈖䈫䈏䈪䈐䉎䉋䈉䈮䈭䉎䇯
ȝ 55 ȝ
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䂾 䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᢱℂ඙ಽ䈫䈚䈩䈲䇮ਥ㘩䇮೽⩿䇮ਥ⩿䇮‐੃䊶੃⵾ຠ䇮ᨐ‛䈱䋵䈧䈫
䈜䉎䇯
䂾 䈠䉏䈡䉏䈱඙ಽ䈮฽䉁䉏䉎ᢱℂ╬䈮䈧䈇䈩䈲䇮એਅ䈱䈫䈍䉍䈪䈅䉎䇯
㽲 ਥ㘩䈮䈲䇮὇᳓ൻ‛╬䈱ଏ⛎Ḯ䈪䈅䉎䈗䈲䉖䇮䊌䊮䇮㤖䊶䊌䉴䉺䈭䈬䉕ਥ᧚ᢱ䈫䈜䉎ᢱℂ
䈏฽䉁䉏䉎䇯
㽳 ೽⩿䈮䈲䇮䊎䉺䊚䊮䇮䊚䊈䊤䊦䇮㘩‛❫⛽╬䈱ଏ⛎Ḯ䈪䈅䉎㊁⩿䇮䈇䉅䇮⼺㘃䋨ᄢ⼺䉕㒰
䈒䇯䋩䇮䈐䈱䈖䇮ᶏ⮺䈭䈬䉕ਥ᧚ᢱ䈫䈜䉎ᢱℂ䈏฽䉁䉏䉎䇯
㽴 ਥ⩿䈮䈲䇮䈢䉖䈴䈒⾰╬䈱ଏ⛎Ḯ䈪䈅䉎⡺䇮㝼䇮ෆ䇮ᄢ⼺෸䈶ᄢ⼺⵾ຠ䈭䈬䉕ਥ᧚ᢱ䈫
䈜䉎ᢱℂ䈏฽䉁䉏䉎䇯
㽵 ‐੃䊶੃⵾ຠ䈮䈲䇮䉦䊦䉲䉡䊛╬䈱ଏ⛎Ḯ䈪䈅䉎‐੃䇮䊣䊷䉫䊦䊃䇮䉼䊷䉵䈭䈬䈏฽䉁䉏
䉎䇯
㽶 ᨐ‛䈮䈲䇮䊎䉺䊚䊮䌃䋬䉦䊥䉡䊛╬䈱ଏ⛎Ḯ䈪䈅䉎䉍䉖䈗䇮䉂䈎䉖䈭䈬䈱ᨐታ෸䈶䈜䈇䈎䇮
䈇䈤䈗䈭䈬䈱ᨐታ⊛䈭㊁⩿
䈏฽䉁䉏䉎䇯
䈭䈍䇮ᴤ⢽䊶⺞๧ᢱ䈮䈧䈇䈩䈲䇮ਥ㘩䊶ਥ⩿䊶೽⩿䈱඙ಽ䈮䈍䈔䉎ฦᢱℂ䈱ਛ䈪૶↪䈘䉏䈩
䈇䉎䉅䈱䈪䈅䉍䇮೎䈮඙ಽ䉕⸳䈔䈩䈱ᢛℂ䈲䈚䈭䈇䈖䈫䈫䈚䈢䇯
⴫⃻䈱ᣇᴺ
㽲
ᢱℂ䈪⴫䈚䈢䈖䈫䈮䈧䈇䈩
੹࿁䇮૞ᚑ䈜䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈮䈧䈇䈩䈲䇮৻⥸䈱ੱ䇱䈮䈫䈦䈩䈱䉒䈎䉍䉇䈜䈘䇮
䈭䈛䉂䉇䈜䈘䇮ᄖ㘩╬䈪䈱⴫␜䈱䈚䉇䈜䈘╬䉕⠨ᘦ䈚䇮඙ಽ䈗䈫䈮૗䉕䈬䉏䈣䈔㘩䈼䉎䈎䈫
䈇䈦䈢䈖䈫䉕䇸ᢱℂ䇹䈪⴫⃻䈜䉎䈖䈫䈫䈚䈢䇯
㽳
⴫⃻䈱ᦼ㑆䉕䋱ᣣන૏䈫䈚䈢䈖䈫䈮䈧䈇䈩
䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䉕ᵴ↪䈚䈩ታ㓙䈱㘩੐䉕⚵䉂┙䈩䉎㓙䈮䈲䇮䋱㘩Ფ䈱್ᢿ䊶ㆬᛯ
䉅ᔅⷐ䈪䈅䉎䈏䇮ᄙ䈒䈱ੱ䈮䈫䈦䈩䈲䋱ᣣ䉕න૏䈫䈚䈩䊋䊤䊮䉴䉕⠨䈋䉎䈖䈫䈏ታ㓙⊛䈪䈅䉎
䈖䈫䈎䉌䇮䋱ᣣ䈮䈫䉎䈍䈍䉋䈠䈱㊂䉕ᢱℂ䈫䈚䈩⴫⃻䈜䉎䈖䈫䈫䈚䈢䇯
䈭䈍䇮䉣䊈䊦䉩䊷䈱៨ข䈫ᶖ⾌䈱䊋䊤䊮䉴䉇ฦ⒳ᩕ㙃⚛╬䈱ㆡᱜ㊂䉕៨ข䈜䉎䈫䈇䈉ⷰ
ὐ䈎䉌䈲䇮䋱ᣣ䈱䉂䈱㘩੐䈪್ᢿ䈜䉎䈱䈪䈲䈭䈒䇮䉋䉍㐳ᦼ⊛䊶⠌ᘠ⊛䈭៨ข䉕૬䈞䈩⠨ᘦ
䈜䉎ᔅⷐ䈏䈅䉎䇯
㽴
ኻ⽎䈮䈧䈇䈩
ၮᧄᒻ䈫䈚䈩䈲䇮䇸ᚑੱ䇹䉕ኻ⽎䈫䈜䉎䇯ၮᧄᒻ䈮䈍䈇䈩ᗐቯ䈚䈩䈇䉎䉣䊈䊦䉩䊷㊂䈲䇮䈍
䈍䉋䈠䋲䋲䋰䋰㫧䋲䋰䋰kcal䈪䈅䉎䇯
䈘䉌䈮䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䉕䉋䉍ലᨐ⊛䈮ᵴ↪䈜䉎䈢䉄䈮䇮↢ᵴ⠌ᘠ∛੍㒐䈱ⷰὐ䈎
䉌䇮․䈮䇮䋳䋰䌾䋶䋰ᱦઍ䈱↵ᕈ䈱⢈ḩ⠪䇮නり⠪䇮ሶ⢒䈩䉕ᜂ䈉਎ઍ䈮ὶὐ䉕⛉䈦䈩䈠䈱
ᵴ↪ᣇᴺ䉕␜䈚䈢䇯
ȝ 56 ȝ
㽵
ฦᢱℂ඙ಽ䈱㊂⊛䈭ၮḰ෸䈶ᢙ㊂䈱⠨䈋ᣇ䈮䈧䈇䈩
䇼ਥ 㘩 䋨䈗䈲䉖䇮䊌䊮䇮㤖 䋩䇽
䊶 ਥ 䈫䈚䈩὇ ᳓ ൻ ‛ 䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮䈗䈲䉖䇮䊌䊮䇮㤖 ╬ 䈱ਥ ᧚
ᢱ 䈮↱ ᧪ 䈜䉎὇ ᳓ ൻ ‛ 䈏䈍䈍䉋䈠40g䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈱㊂ ⊛ 䈭ၮ Ḱ 䋨䋽䍀䋱䈧
(SV)䍁䋩䈮⸳ ቯ 䈚䈢䇯
䊶 Ꮢ ⽼ 䈱䈍䈮䈑䉍㪈୘ ಽ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋵䌾䋷䈧䋨SV䋩
䈫䈚䈢䈏䇮䈖䉏䈲䇮䈗䈲䉖䋨ਛ ⋓ 䉍䋩䋨䋽⚂ 㪈.5䈧ಽ 䋩䈪䈅䉏䈳䋴᧰ ⒟ ᐲ 䈮⋧ ᒰ 䈜䉎䇯
䇼೽ ⩿ 䋨㊁ ⩿ 䇮䈐䈱䈖䇮䈇䉅䇮ᶏ ⮺ ᢱ ℂ 䋩䇽
䊶 ਥ 䈫䈚䈩ฦ ⒳ 䊎䉺䊚䊮䇮䊚䊈䊤䊦෸ 䈶㘩 ‛ ❫ ⛽ 䈱ଏ ⛎ Ḯ 䈫䈭䉎㊁ ⩿ ╬ 䈮㑐 䈚䈩䇮ਥ
᧚ ᢱ 䈱㊀ ㊂ 䈏䈍䈍䉋䈠70䌧䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈮䈍䈔䉎䍀䋱䈧(SV)䍁䈮⸳ ቯ 䈚䈢䇯
䊶 ㊁ ⩿ 䉰䊤䉻䉇㊁ ⩿ 䈱䈍ᶐ 䈚䈭䈬䈱ዊ ㋬ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩
䈲䇮䋵䌾䋶䈧䋨SV䋩䈫䈚䈢䇯
䇼ਥ ⩿ 䋨⡺ 䊶㝼 䊶ෆ 䊶ᄢ ⼺ ᢱ ℂ 䋩䇽
䊶 ਥ 䈫䈚䈩䈢䉖䈴䈒⾰ 䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮⡺ 䇮㝼 䇮ෆ 䇮ᄢ ⼺ ╬ 䈱ਥ
᧚ ᢱ 䈮↱ ᧪ 䈜䉎䈢䉖䈴䈒⾰ 䈏䈍䈍䉋䈠6g䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈱䍀䋱䈧(SV)䍁䈮⸳ ቯ 䈚
䈢䇯
䊶 㢚 ෆ 䋱୘ 䉕↪ 䈇 䈢ᢱ ℂ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋳䌾䋵䈧䋨 S
V䋩䈫䈚䈢䇯䈭䈍䇮ਥ ⩿ 䈫䈚䈩⢽ ⾰ 䉕ᄙ 䈒฽ 䉃ᢱ ℂ 䉕ㆬ ᛯ 䈜䉎႐ ว 䈲䇮⢽ ⾰ 䉇䉣䊈䊦
䉩 䊷 䈱ㆊ ೾ ៨ ข 䉕 ㆱ 䈔䉎 ᗧ ๧ 䈎 䉌 䇮਄ ⸥ 䈱 ⋡ ቟ 䉋 䉍䉅ዋ 䈭䉄 䈮ㆬ ᛯ 䈜 䉎ᔅ ⷐ 䈏 䈅
䉎䇯
䇼‐ ੃ 䊶੃ ⵾ ຠ 䇽
䊶 ਥ 䈫䈚䈩䉦䊦䉲䉡䊛䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮ਥ ᧚ ᢱ 䈮↱ ᧪ 䈜䉎䉦䊦䉲
䉡䊛䈏䈍䈍䉋䈠㪈00mg䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈱䍀䋱䈧(SV)䍁䈮⸳ ቯ 䈚䈢䇯
䊶 ‐ ੃ 䉮䉾䊒ඨ ಽ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋲䈧䋨SV䋩䈫䈚䈢䇯
䇼ᨐ ‛ 䇽
䊶 ਥ 䈫䈚䈩䊎䉺䊚䊮䌃䉇䉦䊥䉡䊛䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱ᨐ ‛ 䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮ਥ ᧚ ᢱ 䈱
㊀ ㊂ 䈏䈍䈍䉋䈠㪈00g䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈮䈍䈔䉎䍀䋱䈧(SV)䍁䈮 ⸳ ቯ 䈚䈢䇯
䊶 䉂䈎 䉖䋱୘ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲2䈧䋨SV䋩䈫䈚䈢䇯
ȝ 57 ȝ
㧠 ੹ᓟ䈱᥉෸ᵴ↪䈮ะ䈔䈩
䂾䊁䊧䊎᡼ㅍ䇮㔀⹹ᐢ๔䈭䈬䊙䉴䊜䊂䉞䉝䉕ㅢ䈛䈩ో࿖䈮ᖱႎ⊒ା䉕ⴕ䈉ઁ䇮䉟䊮䉺䊷䊈䉾䊃਄
䈱䊖䊷䊛䊕䊷䉳䇮᡽ᐭᐢႎ䇮䉲䊮䊘䉳䉡䊛╬䈱ฦ⒳䉟䊔䊮䊃䉕ᵴ↪䈚䈩䈇䈒ᔅⷐ䈏䈅䉎䇯䈖䉏
䈫หᤨ䈮䇮䊌䊮䊐䊧䉾䊃䇮䊘䉴䉺䊷䇮㘩੐䈱⥄Ꮖ䉼䉢䉾䉪䉲䊷䊃䇮៤Ꮺ䉴䊃䊤䉾䊒䇮Ⴃ䉍⛗䈭䈬䇮
ሶ䈬䉅䉇৻⥸䈱ᣇ䇱䈮ⷫ䈚䉂䉇䈜䈇䉫䉾䉵䉕૞ᚑ䈚䇮ੱ䈱ᄙ䈒㓸䉁䉎႐ᚲ䈪㈩Ꮣ䈜䉎䈖䈫䉅
㊀ⷐ䈪䈅䉎䇯
䂾㘩ຠ↥ᬺ䈱ಽ㊁䉇࿾ၞ䈮䈍䈔䉎㘩↢ᵴᡷༀ╬䈱႐䈪䈱ౕ૕⊛䈭ข⚵䈪䈅䉎䇯䈠䈱㓙䈮
ᄢಾ䈭䈖䈫䈲䇮න⊒䈱䉟䊔䊮䊃䈪⚳䉒䉌䈭䈇䇮㐳ᦼ䈮⛮⛯น⢻䈭⃻ታ⊛䈭ข⚵䉕⠨䈋䈩䈇䈒
䈖䈫䈪䈅䉎䇯୘ੱ䈻䈱䉝䊒䊨䊷䉼䈮䈍䈇䈩䈲䇮䈠䈱୘ੱ䈱ታ㓙䈱㘩↢ᵴ䈫䇸㘩੐䊋䊤䊮䉴䉧
䉟䊄䇹䈪␜䈚䈩䈇䉎ౝኈ䋨ᦸ䉁䈚䈇㘩੐䈱䈫䉍ᣇ䋩䈫䈱㑆䈱䉩䊞䉾䊒䈏ᄢ䈐䈭႐ว䈮䈲䇮᰼ᒛ䉌
䈝䈮ዋ䈚䈝䈧䈠䉏䉕ၒ䉄䈩䈇䈒ⷞὐ䉅ᔅⷐ䈪䈅䉎䇯
䂾䉁䈢䇮㘩ຠ↥ᬺ╬䈻䈱䉝䊒䊨䊷䉼䈫䈚䈩䈲䇮㘩ຠ䈱⵾ㅧᬺ⠪䉇ടᎿᬺ⠪䇮ዊᄁᐫ䈱૞ᬺ
෸䈶⾌↪⽶ᜂ╬䈱⽶⩄䈏ዋ䈭䈒䇮䈎䈧䊎䉳䊈䉴਄䈱䉟䊮䉶䊮䊁䉞䊑䈮䉅䈧䈭䈏䉎䈖䈫䈏ᦸ䉁
䉏䉎䇯
䋨䋱䋩
ㇺ㆏ᐭ⋵䇮Ꮢ↸᧛╬䈮䈍䈔䉎ᵴ↪ᴺ
䂾ᐢ䈒࿾ၞ૑᳃䈮ኻ䈜䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈮㑐䈜䉎ᖱႎ䈱ឭଏ䇮ஜᐽᢎቶ䈭䈬䈮䈍䈔䉎
䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᵴ↪䇮࿾ၞ䊗䊤䊮䊁䉞䉝䈱䈢䉄䈱⻠⠌ળ䈱㐿௅䇮㘶㘩ᐫ䉇⛎㘩ᣉ
⸳䈪䈱䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᵴ↪╬䈱ข⚵䉕ᡰេ䈚䈩䈇䈒䈖䈫䈏ᔅⷐ䈪䈅䉎䇯䈘䉌䈮䇮30
䌾60ᱦઍ䈱↵ᕈ䈱⢈ḩ⠪䇮නり⠪䇮ሶ⢒䈩䉕ᜂ䈉਎ઍ䈮ὶὐ䉕⛉䈦䈢ข⚵䈫䈚䈩䇮⡯ၞ䉇
ቇᩞ䈭䈬䈫ㅪ៤䈚䈢ข⚵䈏ᦼᓙ䈘䉏䉎䇯
䋨䋲䋩
䉴䊷䊌䊷䊙䊷䉬䉾䊃䇮䉮䊮䊎䊆䉣䊮䉴䉴䊃䉝䇮ᄖ㘩╬䈮䈍䈔䉎ᵴ↪ᴺ
䂾ᄙ䈒䈱ੱ䇱䈏㘩ຠ䉕ㆬᛯ䊶⾼౉䈜䉎႐䈪䈅䉎䉴䊷䊌䊷䊙䊷䉬䉾䊃䇮䉮䊮䊎䊆䉣䊮䉴䉴䊃䉝䇮ᄖ
㘩䈫䈇䈦䈢ᐫ⥩䈲䇮᏷ᐢ䈇ᐕ㦂䈱ੱ䇱䈏ᣣᏱ⊛䈮೑↪䈚䈩䈇䉎䈖䈫䈎䉌䇮䇸㘩੐䊋䊤䊮䉴䉧
䉟䊄䇹䈱ᵴ↪䈮䈧䈇䈩䇮᭽䇱䈭ᖱႎឭଏ䉇᥉෸ᵴേ䈏ⴕ䉒䉏䉎䈖䈫䈏ᦼᓙ䈘䉏䉎䇯
䂾䉰䊷䊎䊮䉫ᢙ䈱⇣䈭䉎䉰䉟䉵䈱ᢱℂ䉕ㆬᛯ䈪䈐䉎䉋䈉䈮䈜䉎䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈫૬
䈞䈩✚䉣䊈䊦䉩䊷㊂䇮⢽⾰෸䈶㘩Ⴎ⋧ᒰ㊂╬䈮㑐䈜䉎ᩕ㙃ᚑಽ⴫␜䉕䈜䉎╬䇮䈖䉏䉁
䈪䈱ข⚵䈫䉕૬䈞䈢ዷ㐿䉕ⴕ䈦䈩䈇䈒䈖䈫䈏ᦸ䉁䉏䉎䇯䈖䈱䉋䈉䈭ข⚵䈏䇮㘩䈼ㆊ䈑䇮㘩
䈼ᱷ䈚䇮䈵䈇䈩䈲䉯䊚䈱Ⴧട䈭䈬ⅣႺ໧㗴䉕ᗧ⼂䈚䈧䈧䇮ᩕ㙃䊋䊤䊮䉴䈱䈫䉏䈢ㆡ㊂䋨⣻
౎ಽ⋡䋩䈱㘩↢ᵴ䉕ଦ䈜䈖䈫䈮䉅䈧䈭䈏䈦䈩䈇䈒䈖䈫䈏ᦼᓙ䈘䉏䉎䇯
䂾䈘䉌䈮䇮㘩ຠ⵾ㅧᬺ䈏㘩ຠ䈱൮ⵝ䈮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱䉟䊤䉴䊃䈭䈬䉕⸥タ䈜䉎䈖䈫䈮
䉋䉍䇮䈠䈱໡ຠ䈏䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᢱℂ඙ಽ䈱䈬䈱ㇱಽ䈮⹥ᒰ䈚䇮䋱ᣣ㊂䈱䈍䈍䉋
䈠䈬䈱⒟ᐲ䈮䈭䉎䈱䈎䈱ᖱႎ䉕␜䈜䈖䈫䈲䇮㘈ቴ䈱໡ຠㆬᛯ䈱৻ഥ䈫䈭䉎䇯
ȝ 58 ȝ
䋨䋳䋩▤ℂᩕ㙃჻╬ኾ㐷ኅ䈮䉋䉎ᵴ↪ᴺ
䌾ᩕ㙃ᜰዉ䊶ᩕ㙃ᢎ⢒䈱႐㕙䈮䈍䈔䉎ᵴ↪䈱ᣇะᕈ
䂾▤ℂᩕ㙃჻╬䈱ኾ㐷ኅ䈲䇮䈖䈱䉋䈉䈭䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹㐿⊒䈱䈰䉌䈇䉇․ᓽ䉕ච
ಽ䈮ℂ⸃䈚䈢਄䈪䇮ᩕ㙃ᜰዉ䊶ᩕ㙃ᢎ⢒䈱ኻ⽎䈪䈅䉎୘ੱ䉇㓸࿅䈱ஜᐽ⁁ᘒ䊶ᩕ㙃⁁
ᘒ䇮㘩⍮⼂䉇㘩ᗧ⼂䇮ቇ⠌䈻䈱Ḱ஻⁁ᘒ䇮㘩ⴕേ䊶䊤䉟䊐䉴䉺䉟䊦╬䉕ㆡಾ䈮ᛠី䊶⹏
ଔ䈚䇮ኻ⽎䈱․ᕈ䈮ኻᔕ䈚䈢ᵴ↪䊶ዷ㐿䉕࿑䉌䈰䈳䈭䉌䈭䈇䇯
䂾ᣣᧄᩕ㙃჻ળ╬䈱දജ䉕ᓧ䈩䇮䈖䉏䉌䈱䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱䈰䉌䈇䉇․ᓽ䉕▤ℂ
ᩕ㙃჻╬䈮ኻ䈚䈩චಽ๟⍮䈚䇮ኾ㐷ኅ䉕੺䈚䈢䉋䉍䈐䉄⚦䈎䈭ᖱႎឭଏ䈫᥉෸໪⊒䉕
࿑䉎ᔅⷐ䈏䈅䉎䇯
䂾䈖䈱䉋䈉䈭ข⚵䉕ⴕ䈦䈩䈇䈒䈢䉄䈮䈲䇮▤ℂᩕ㙃჻䊶ᩕ㙃჻䇮⺞ℂᏧ╬䈱㙃ᚑᣉ⸳䈮䈍
䈇䈩䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䉕૶䈦䈢ᩕ㙃ᢎ⢒䉇㘩੐⸘↹䊶⛎㘩⚻༡▤ℂ╬䈱ౕ૕⊛
䈭ᢎ⢒ౝኈ䈏⋓䉍ㄟ䉁䉏䈩䈇䉎䈖䈫䈏䇮೨ឭ䈫䈭䉎䇯
䋨䋴䋩࿾ၞ䈮䈍䈔䉎㘩↢ᵴᡷༀ䊗䊤䊮䊁䉞䉝ᵴേ䈱ข⚵╬䈮䉋䉎ᵴ↪ᴺ
䂾࿾ၞ䈮䈍䈇䈩䈲䇮㘩↢ᵴᡷༀ䈱䈢䉄䈱⨲䈱ᩮ⊛䈭ᵴേ䉕㐳ᐕታᣉ䈚䈩䈐䈩䈇䉎㘩↢ᵴ
ᡷༀផㅴຬ䈱ઁ䇮㘩ᢥൻ䈱⛮ᛚ䉕⋡⊛䈫䈚䈩ᵴേ䈚䈩䈇䉎⠪䇮㘩⢒䈫䈚䈩䈱ㄘᬺ૕㛎䉕
ផㅴ䈜䉎ㄘᬺ㑐ଥ⠪╬䇮᭽䇱䈭㘩⢒䈱ข⚵䈏ዷ㐿䈘䉏䈩䈇䉎䇯
䂾䈖䈉䈚䈢⠪䈏䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ౝኈ䉕ℂ⸃䈚ᵴ↪䈚䉇䈜䈇䉋䈉䈮䇮ⴕ᡽䊧䊔䊦䈪䈱
⻠⠌ળ䈱㐿௅䇮㑐ଥ⠪䈱ቇ⠌䈱႐䈻䈱ᖱႎឭଏ╬䉕Ⓧᭂ⊛䈮ផㅴ䈜䉎ᔅⷐ䈏䈅䉎䇯
䂾ᶖ⾌⠪࿅૕䈮䈍䈇䈩䈲䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱䉟䊤䉴䊃෸䈶䈠䈱ᵴ↪ᣇᴺ䈮䈧䈇䈩৻
⥸ᶖ⾌⠪䈮๟⍮䈚䈩䈇䈒䈢䉄䇮㑐ㅪ䈜䉎࿅૕ਥ௅䈱⻠ᐳ䇮ീᒝળ䇮࿅૕᭴ᚑຬ䈻䈱વ
㆐䇮䊌䊮䊐䊧䉾䊃䈱㈩Ꮣ╬᭽䇱䈭ᯏળ䉕ㅢ䈛᥉෸䈮ദ䉄䇮৻ੱ䈪䉅ᄙ䈒䈱ᶖ⾌⠪䈏㑐ᔃ
䉕ᜬ䈤䇮ᵴ↪䈪䈐䉎䉋䈉䈮䈚䈩䈇䈒ᔅⷐ䈏䈅䉎䇯
䈭䈍䇮੹ᓟ䇮㘩⢒ၮᧄᴺ䈮ၮ䈨䈒㘩⢒ផㅴၮᧄ⸘↹䈏╷ቯ䈘䉏䉎䈖䈫䈫䈭䈦䈩䈍䉍䇮䈖䈱ਛ
䈪ฦಽ㊁䈮䈍䈔䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱᥉෸ᵴ↪䈮䈧䈇䈩䈱૏⟎ઃ䈔䈏䈭䈘䉏䇮䉋䉍৻ጀ䈱
✚ว⊛䈎䈧⸘↹⊛䈭ផㅴ䈏䈭䈘䉏䉎䈖䈫䈫䈮䈭䉎䈪䈅䉐䈉䇯
ȝ 59 ȝ
áâNãŽ
ä
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㘩੐៨ขၮḰߣߪ
㘩੐៨ขၮḰߪ‫ޔ‬ஜᐽߥ୘ੱ߹ߚߪv<ࠍኻ⽎ߣߒߡ‫ޔ‬࿖1ߩஜᐽߩóô2
Ⴧㅴ‫࡯ࠡ࡞ࡀࠛޔ‬2ᩕ㙃⚛ᰳ+∝ߩ„…‫↢ޔ‬ᵴ⠌ᘠ∛ߩ„…‫ޔ‬no៨ขߦࠃ
ࠆஜᐽ㓚ኂߩ„…ࠍ⋡⊛ߣߒ‫࡯ࠡ࡞ࡀࠛޔ‬෸߮ฦᩕ㙃⚛ߩ៨ข㊂ߩၮḰࠍ␜
ߔ߽ߩߢ޽ࠆ‫ޕ‬
Ý↪ᦼ[ߪ‫ޔ‬2005 ᐕ㧠᦬㧔ᐔᚑ '7 ᐕ˜㧕߆ࠄ 20'0 ᐕ,᦬㧔ᐔᚑ 2' ᐕ˜㧕
߹ߢߩ㧡ᐕ[ߢ޽ࠆ‫ޕ‬
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⸳ቯᜰšߦߟ޿ߡ
㘩੐៨ขၮḰߣߒߡ‫ޔ‬ਅåߩߣ߅ࠅ‫ߪߡ޿ߟߦ࡯ࠡ࡞ࡀࠛޔ‬㧝⒳#‫ޔ‬ᩕ㙃
⚛ߦߟ޿ߡߪ㧡⒳#ߩᜰš߇⸳ቯߐࠇߡ޿ࠆ‫ޕ‬
-ࠛࡀ࡞ࠡ࡯.
/ ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂
ࠛࡀ࡞ࠡ࡯ߩਇ⿷ߩ࡝ࠬࠢ෸߮noߩ࡝ࠬࠢߩ0⠪߇›߽nߐߊߥࠆ៨ข㊂
-ᩕ㙃⚛.
ஜᐽߩóô2Ⴧㅴߣᰳ+∝„…ߩߚ߼ߦ‫ޔ‬
‫ޟ‬ផቯᐔᔅⷐ㊂‫ޟߣޠ‬ផᅑ㊂‫ߩޠ‬㧞ߟߩ1
ࠍ⸳ቯߒߚ‫ߩߎޔߒ߆ߒޕ‬㧞ᜰšࠍ⸳ቯߔࠆߎߣ߇ߢ߈ߥ޿ᩕ㙃⚛ߦߟ޿ߡߪ‫ޔ‬
‫⋡ޟ‬቟㊂‫ޠ‬
ࠍ⸳ቯߒߚ‫↢ޔߚ߹ޕ‬ᵴ⠌ᘠ∛ߩ㧝<„…ࠍ¼ࠄ⋡⊛ߣߒߡ㘩੐៨ขၮḰࠍ⸳ቯߔࠆᔅ
ⷐߩ޽ࠆᩕ㙃⚛ߦߟ޿ߡߪ‫š⋡ޟޔ‬㊂‫⸳ࠍޠ‬ቯߒߚ‫ޕ‬no៨ขߦࠃࠆஜᐽ㓚ኂࠍ£ߦ…
2ߎߣࠍ⋡⊛ߣߒߡ‫ޟ‬਄å㊂‫⸳ࠍޠ‬ቯߒߚ‫ޕ‬
/ ផቯᐔᔅⷐ㊂
>ቯߩv<ࠍኻ⽎ߣߒߡ3ቯߐࠇߚᔅⷐ㊂߆ࠄ‫ޔ‬ᕈ2ᐕDwx#ߦᣣੱߩᔅⷐ㊂ߩ
ᐔ1ࠍផቯߒߚ‫ޕ‬R4ᕈ2ᐕDwxߦ/ߔࠆੱ‫ ߩޘ‬508߇ᔅⷐ㊂ࠍḩߚߔߣផቯߐࠇ
ࠆ㧝ᣣߩ៨ข㊂ߢ޽ࠆ‫ޕ‬
/ ផᅑ㊂
޽ࠆᕈ2ᐕDwx#ߦ/ߔࠆੱ‫ߣߩޘ‬Ïߤ㧔97ß988㧕߇㧝ᣣߩᔅⷐ㊂ࠍḩߚߔߣ
ផቯߐࠇࠆ㧝ᣣߩ៨ข㊂ߢ޽ࠆ‫ޕ‬5ߣߒߡ‫ޟ‬ផቯᐔᔅⷐ㊂(šḰ`}ߩ㧞㧔㧞6
7㧕
‫ޕߚߒߣޠ‬
/ ⋡቟㊂
ផቯᐔᔅⷐ㊂2ផᅑ㊂ࠍ¢ቯߔࠆߩߦචಽߥ⑼ቇ⊛ᩮ᜚߇8ࠄࠇߥ޿Œวߦ‫ࠆ޽ޔ‬
ᕈ2ᐕDwx#ߦ/ߔࠆੱ‫⦟ޔ߇ޘ‬øߥᩕ㙃⁁&ࠍóôߔࠆߩߦචಽߥ㊂ߢ޽ࠆ‫ޕ‬
/ ⋡š㊂
↢ᵴ⠌ᘠ∛ߩ৻<„…ߩߚ߼ߦ⃻kߩᣣੱ߇Rߩ⋡šߣߔߴ߈៨ข㊂㧔߹ߚߪ‫ޔ‬
ߘߩ9:㧕ߢ޽ࠆ‫ޕ‬
/ ਄å㊂
޽ࠆᕈ2ᐕDwx#ߦ/ߔࠆߣÏߤߔߴߡߩੱ‫ޔ߇ޘ‬no៨ขߦࠃࠆஜᐽ㓚ኂࠍ
⿠ߎߔߎߣߩߥ޿ᩕ㙃⚛៨ข㊂ߩ›ᄢåߩ㊂ߢ޽ࠆ‫ޕ‬
ȝ 5: ȝ
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╷ቯᩕ㙃⚛╬ߦߟ޿ߡ
╷ቯߐࠇߚᩕ㙃⚛╬ߪ‫ޔ‬ਅ⸥ߩߣ߅ࠅߢ޽ࠆ‫ޕ‬
ࠛࡀ࡞ࠡ࡯‫ޔ⾰ߊ߬ࠎߚޔ‬⢽⾰㧔✚⢽⾰‫ޔ‬㘻๺⢽⢌㉄‫ޔ‬n-6 ♽⢽⢌㉄‫ޔ‬n-3 ♽⢽⢌㉄‫ޔ‬
ࠦ࡟ࠬ࠹ࡠ࡯࡞㧕
‫ޔ‬὇᳓ൻ‛‫ޔ‬㘩‛❫⛽‫ޔ‬
᳓ṁᕈࡆ࠲ࡒࡦ㧦ࡆ࠲ࡒࡦ㧮㧝‫ࡦࡒ࠲ࡆޔ‬㧮㧞‫ࡦࡒ࠲ࡆޔࡦࠪࠕࠗ࠽ޔ‬㧮㧢‫ޔ㉄⪲ޔ‬
ࡆ࠲ࡒࡦ㧮㧝㧞‫ࡦࡒ࠲ࡆޔ㉄ࡦ࠹࠻ࡦࡄޔࡦ࠴ࠝࡆޔ‬㧯
⢽ṁᕈࡆ࠲ࡒࡦ㧦ࡆ࠲ࡒࡦ㧭‫ࡦࡒ࠲ࡆޔ‬㧱‫ࡦࡒ࠲ࡆޔ‬㧰‫ࡦࡒ࠲ࡆޔ‬㧷
ࡒࡀ࡜࡞㧦ࡑࠣࡀࠪ࠙ࡓ‫ޔࡦ࡝ޔࡓ࠙ࠪ࡞ࠞޔ‬㋕
ᓸ㊂ర⚛㧦ࠢࡠࡓ‫ޔࡦࠟࡦࡑޔࡦ࠺ࡉ࡝ࡕޔ‬㌃‫ޔ‬੝㋦‫⚛࡛࠙ޔࡦ࡟࠮ޔ‬
㔚⸃⾰㧦࠽࠻࡝࠙ࡓ‫ࡓ࠙࡝ࠞޔ‬
㧠
ၮᧄ⊛ߥᵴ↪ᣇᴺߦߟ޿ߡ
㘩੐៨ขၮḰߩ↪ㅜߪ‫ޔ‬
‫ޟ‬៨ข㊂ࠍ⹏ଔ㧔ࠕ࠮ࠬࡔࡦ࠻㧕ߔࠆߚ߼‫ޠ‬
㧔⴫㧝㧕
ߣ‫ޟޔ‬ᩕ㙃⸘↹㧔ࡊ࡜ࡦ࠾ࡦࠣ㧦ᩕ㙃ᜰዉ⸘↹‫⛎ޔ‬㘩⸘↹╬ࠍ฽߻㧕ࠍ┙᩺ߔ
ࠆߚ߼‫ޠ‬㧔⴫㧞㧕ߩ㧞ߟߦᄢ೎ߐࠇࠆ‫ޕ‬
㧡
૶↪ߦ޽ߚߞߡߩ⇐ᗧὐߦߟ޿ߡ
㧝㧕㘩੐៨ขၮḰࠍㆡ↪ߔࠆኻ⽎ߪ‫ޔ‬ਥߦஜᐽߥ୘ੱ‫ޔߦ߮ࠄߥޔ‬ஜᐽੱ
ࠍਛᔃߣߒߡ᭴ᚑߐࠇߡ޿ࠆ㓸࿅ߣߔࠆ‫ޔߒߛߚޕ‬૗ࠄ߆ߩシᐲߥ∔ᖚ
㧔଀߃߫‫ޔ‬㜞ⴊ࿶‫ޔ‬㜞⢽ⴊ∝‫ޔ‬㜞ⴊ♧㧕ࠍ᦭ߒߡ޿ߡ߽ᣣᏱ↢ᵴࠍ༡ߺ‫ޔ‬
ᒰ⹥∔ᖚߦ․᦭ߩ㘩੐ᜰዉ‫ޔ‬㘩੐≮ᴺ‫ޔ‬㘩੐೙㒢߇ㆡ↪ߐࠇߚࠅ‫ޔ‬ផᅑ
ߐࠇߚࠅߒߡ޿ߥ޿⠪ࠍ฽߻ߎߣߣߔࠆ‫ޕ‬
㧞㧕㘩੐៨ขၮḰߣߒߡ↪޿ࠄࠇߡ޿ࠆන૏ߪ‫ޟ‬㧝ᣣᒰߚࠅ‫ޔ߇ࠆ޽ߢޠ‬
ߎࠇߪ⠌ᘠ⊛ߥ៨ข㊂ࠍ㧝ᣣᒰߚࠅߦ឵▚ߒߚ߽ߩߢ޽ࠆ‫ޕ‬
㧟㧕ᩕ㙃ᜰዉ‫⛎ޔ‬㘩⸘↹╬ߦᵴ↪ߔࠆ㓙‫ޔ‬ၮᧄ⊛ߦߪ‫ޔ࡯ࠡ࡞ࡀࠛޔ‬⢽⾰‫ޔ‬
ߚࠎ߬ߊ⾰‫ࡦࡒ࠲ࡆޔ‬㧭‫ࡦࡒ࠲ࡆޔ‬㧮㧝‫ࡦࡒ࠲ࡆޔ‬㧮㧞‫ࡦࡒ࠲ࡆޔ‬㧯‫ࠞޔ‬
࡞ࠪ࠙ࡓ‫ޔ‬㋕‫ࡓ࠙࡝࠻࠽ޔ‬㧔㘩Ⴎ㧕
‫ޔ‬㘩‛❫⛽ߦߟ޿ߡ⠨ᘦߔࠆߩ߇ᦸ߹
ߒ޿‫ޕ‬
㧠㧕ផᅑ㊂‫⋡ޔ‬቟㊂‫⋡ޔ‬ᮡ㊂ߦߟ޿ߡߪ‫ޔ‬ᣣᏱߩ㘩↢ᵴߦ߅޿ߡ‫ޔ‬ㅢᏱߩ
㘩ຠߦࠃߞߡࡃ࡜ࡦࠬߩߣࠇߚ㘩੐ࠍߣࠆߎߣߦࠃࠅḩߚߔߎߣ߇ၮᧄ
ߢ޽ࠆ‫ޕ‬
㧡㧕਄㒢㊂ߦߟ޿ߡߪ‫ޔ‬ㅢᏱߩ㘩ຠߦࠃࠆ㘩੐ߢ৻ᤨ⊛ߦߎߩ㊂ࠍ⿥߃ߚ
߆ࠄߣ޿ߞߡஜᐽ㓚ኂ߇߽ߚࠄߐࠇࠆ߽ߩߢߪߥ޿‫ޕ‬
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GHI*JKLMNOP*QLRSDTUVWX*+,ᐔᚑ㧝㧞ᐕ㧝㧞᦬㧞;ᣣఽ\´㧣㧞<2ஜකH↢⊒´㧣;<
ฦ=>?@2ABë2>#‰\ሶ଻ஜÍ▤W㧔+㧕 Cᩕ㙃Í
▤W㧔+㧕 D
)↢,ఽEFG+\ሶ଻ஜe C଻ஜක≮+HI଻ஜ2ஜᐽჇ
ㅴᩕ㙃e↢ᵴ⠌ᘠ∛ኻ╷. ㅢ⍮
ㄭᐕ‫ޔ‬EF⇣Ᏹߩߢ‫ޔ‬4ಽ56ߥߤߩ␹⚻▤㐽㎮㓚ኂߦߟ޿ߡ‫ޔ‬GHࠍ…ߣߒߚ⻉ᄖ࿖ߦ
ࠃࠅ3ቇ⎇ⓥ߇ⴕࠊࠇ‫ޔ‬ᅧᆼŽߥᐕDߩᅚᕈ╬߳ߩjklIߩ৻⒳ߢ޽ࠆ⪲㉄ߩ៨ข߇ߘߩ
⊒∝ߩ࡝ࠬࠢࠍૐᷫߔࠆߎߣ߇ႎ๔ߐࠇߡ޿ࠆ‫ޔߚ߹ޕ‬GH⻉࿖ߦ߅޿ߡߪᅧᆼŽߥᐕDߩᅚ
ᕈߦኻߒߡ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫߩߚ߼‫㉄⪲ޔ‬៨ข㊂ࠍჇടߐߖࠆߴ߈ߢ޽ࠆߣ
J๔ߒߡ޿ࠆ‫ޕ‬
৻ᣇ‫ޔ‬K߇࿖ߦ߅޿ߡߪ‫⻉ޔ‬ᄖ࿖ߣLߒߡ‫ޔ‬4ಽ56ߩ⊒∝3߇ૐ޿ߎߣ╬ߩÌí߆ࠄ‫ߎޔ‬
ࠇ߹ߢ !ߔࠆ3ቇ⺞ᩏߪߣÏߤⴕࠊࠇߡ߅ࠄ‚‫▤⚻␹ޔߚ߹ޔ‬㐽㎮㓚ኂߩ࡝ࠬࠢૐᷫߩߚ߼
ߩ⪲㉄ߩM↪ߦߟ޿ߡ>Nߩኻᔕߪⴕࠊࠇߡߎߥ߆ߞߚ‫ޕ‬
ߒ߆ߒߥ߇ࠄ‫ޔ‬ᐔᚑ㧝㧝ᐕߦႎ๔ߐࠇߚ␹⚻▤㐽㎮㓚ኂߩ⊒∝3߇ૐ޿࿖OWߦ߅ߌࠆ⎇ⓥ
ߦ߅޿ߡ߽‫ߩ㉄⪲ޔ‬៨ข߇␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢࠍૐᷫߐߖࠆߣߩ⺞ᩏ߇␜ߐࠇߚߎ
ߣ‫ޔ‬ᐔᚑ㧝㧝ᐕ˜ߩ)↢⑼ቇ⎇ⓥߦ߅޿ߡ‫ޔ‬K߇࿖ߩ4ಽ56ߩ⊒∝3߇Ⴧട¯ะߦ޽ࠆߎߣ߇
ႎ๔ߐࠇߚߎߣ‫}ߦࠄߐޔ‬ᓟ‫ޔ‬㘩↢ᵴߩᄙPൻߦࠃࠅ‫ޔ‬㘩â៨ขߩ୘ੱᩰ}߇ᄢ߈ߊߥࠅ‫㉄⪲ޔ‬
៨ข߇ਇචಽߥ⠪߇Ⴧടߔࠆ ᔨ߽޽ࠆߎߣ╬߆ࠄ‫ޔ‬K߇࿖ߩ⃻⁁ࠍ〯߹߃ߚ⪲㉄ߩ៨ขߦࠃࠆ
␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩŽᕈߦߟ޿ߡᬌ⸛ߔࠆᔅⷐᕈ߇↢ߓߡ߈ߚ‫ޕ‬
ߎߩߚ߼)↢,ఽEFG+\ሶ଻ஜeߦ߅޿ߡߪ‫ ޔ‬Áߔࠆ¼½F߆ࠄߥࠆᬌ⸛ળࠍ⸳⟎ߒߚ
ߣߎࠈߢ޽ࠅ‫ޔ‬ᐕ㧝㧞᦬ߦtᬌ⸛ળߦ߅޿ߡ‫ޔ‬#Q‫▤⚻␹ޟ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߦ ߔ
ࠆႎ๔Ë‫ޕࠆ޽ߢࠈߎߣߚࠇࠄ߼ߣ߹ࠅߣ߇ޠ‬
)↢,ߢߪ‫ޔ‬ႎ๔Ëࠍ߽ߣߦᬌ⸛ߒߚ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝߇⪲㉄ߩ៨ขਇ⿷ߩߺ߆
ࠄ↢ߓࠆ߽ߩߢߪߥߊ‫㉄⪲ޔ‬៨ขߪ␹⚻▤㐽㎮㓚ኂߩ⊒∝ߦ ߔࠆ৻Oሶߢ޽ࠆߣ޿߁u^߆ࠄ‫ޔ‬
K߇࿖ߦ߅޿ߡ⪲㉄ߩ៨ขߦࠃࠅ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢ߇ૐᷫߔࠆ⏕ታߥR᜚߇޽ࠆߣ
ߪ޿޿߇ߚ޿߽ߩߩ‫ߩ㉄⪲ޔ‬៨ขߦࠃࠅ৻ቯߩ⊒∝࡝ࠬࠢߩૐᷫ߇ߥߐࠇࠆ߽ߩߣ⠨߃ࠄࠇࠆߎ
ߣ߆ࠄ‫ߢ^⃻ޔ‬8ࠄࠇߡ޿ࠆᅧᆼŽߥᐕDߩᅚᕈ╬ߩ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ࡝ࠬ
ࠢૐᷫߦ ߔࠆ⑼ቇ⊛ߥ⍮⷗ߦߟ޿ߡᱜ⏕ߦsႎឭtࠍⴕ߁ߎߣ߇ᔅⷐߣ™§ߒ‫ޔ‬Rߩ[‫ޔ‬#
S‫▤⚻␹ޟ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩᅧᆼŽߥᐕDߩᅚᕈ╬ߦኻߔࠆ⪲㉄ߩ៨ขߦÁ
ࠆsႎឭtⷐT‫ߦޠ‬ၮߠߊᣇ╷ࠍ଻ஜක≮ Á⠪╬ࠍㅢߓߡUߊ৻„ߦ⍮ߔࠆߎߣߣߒߚ‫ޕ‬
ߟ޿ߡߪ‫ޔ‬ᅧᆼŽߥᐕDߩᅚᕈ╬ߩGࠄߩ™§ߦၮߠ߈␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫ
߇ផㅴߐࠇࠆࠃ߁‫ޔ‬#SⷐTߦၮߠߊ‫ޔ‬ᅧᆼŽߥᐕDߩᅚᕈ╬ߦኻߔࠆㆡಾߥsႎឭtߦߟ޿
ߡ▤ౝëV‫଻ޔ‬ஜක≮ߦÁࠆ Á<૕╬߳ߩ⍮ᣇࠃࠈߒߊ߅W޿ߔࠆ‫ޕ‬
ߥ߅‫ࠆߌ߅ߦ^⃻ޔ‬K߇࿖ߩ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩrߦߟ޿ߡ~⏕ߥ3ቇ⊛
ᩮ᜚߇⏕cߒߡ޿ߥ޿ߎߣ߆ࠄ‫↢)ޔ‬,ߦ߅޿ߡߪ‫ޔ‬਄&ߩᣇ╷ߩ⍮ߣߖߡ‫}ޔ‬ᓟ‫ޔ‬K߇࿖
ߦ߅ߌࠆ3ቇ⎇ⓥߩផㅴ߿⪲㉄ߩ៨ข⁁ᴫ‫ߩ㉄⪲ޔ‬M↪r3‫㉄⪲ޔ‬៨ขߣ␹⚻▤㐽㎮㓚ኂߩ !
ᕈ╬ߩ⺞ᩏ⎇ⓥࠍⴕ޿‫ߚ߃߹〯ࠍߩߘޔ‬Xߥࠆᣇ╷ߩᬌ⸛ࠍⴕ߁ߎߣߣߒߡ޿ࠆ‫ޕ‬
Yߦߟ޿ߡߪ‫ޔ‬㧔Z㧕ᣣකAળ‫ޔ‬㧔Z㧕ᣣ↥⑼ᇚੱ⑼ቇળ‫ޔ‬㧔Z㧕ᣣ\ᕈ଻[↥ᇚੱ
⑼කળ‫ޔ‬㧔Z㧕ᣣnఽ⑼ቇળ‫ޔ‬㧔Z㧕ᣣnఽ଻ஜ\ળ‫ޔ‬㧔Z㧕ᣣnఽ⑼කળ‫ޔ‬㧔Z㧕ᣣ
]^Aળ‫ޔ‬㧔Z㧕ᣣ_[\ળ‫ޔ‬㧔Z㧕ᣣ:↥ᇚળ‫ޔ‬㧔Z㧕ᣣᩕ㙃`ળߦኻߒߡ߽‫ߩߘޔ‬ળ
©ߦኻߔࠆ⍮ࠍ࿑ࠆࠃ߁abߒߡ޿ࠆߎߣࠍ‫ޔ‬ᔨߩߚ߼cߒQ߃ࠆ‫ޕ‬
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㧔#S㧕
␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩᅧᆼŽߥ
ᐕDߩᅚᕈ╬ߦኻߔࠆ⪲㉄ߩ៨ขߦ
ߔࠆsႎឭtⷐT
´㧝 ⋡⊛
ⷐTߪ‫଻ޔ‬ஜක≮ Á⠪߇‫ޔ‬ᅧᆼŽߥᐕDߩᅚᕈ‫ޔ‬ᅧᆼࠍ®%ߒߡ޿ࠆᅚᕈ෸߮ᅧ↥ᇚ╬
ߦ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߦ⪲㉄ߩ៨ขߦÁࠆㆡಾߥsႎឭtࠍታdߒ‫ߩੱޔ‬
™§ߦၮߠ޿ߚㆡಾߥㆬᛯ߇Žߣߥࠆߎߣࠍ⋡⊛ߔࠆ‫ޕ‬
´㧞 ⪲㉄෸߮␹⚻▤㐽㎮㓚ኂߩ৻„⊛ߥsႎߦߟ޿ߡ
㧝 ⪲㉄ߦߟ޿ߡ
⪲㉄ߪjklIߩ/0ᕈjklߢ1ߦ_↪ߔࠆ‫ޕ‬ਇ⿷ߔࠆߣ2߇↢ߓࠆߎߣ߇޽
ࠆ߇noߥŒวߦ⊒∝ߔࠆœ{ߪ>ߦ⍮ࠄࠇߡ޿ߥ޿‫ޕ‬૕ౝߩëᕈߪૐߊ‫ޔ‬Úᣣ៨ขߔࠆߎ
ߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬
⪲㉄ߪ㊁Ò‫ޔ‬âߥߤߩŸㄭߥ㘩ຠߦᄙߊ߹ࠇࠆ‫ޕ‬
㧞 ␹⚻▤㐽㎮㓚ኂߦߟ޿ߡ
␹⚻▤㐽㎮㓚ኂߪ‫ޔ‬Íߦ‫ޔ‬EFᕈߩÂ߿56ߩeวਇƒߩߎߣࠍ޿߁‫ޕ‬56ߩeวਇƒࠍ4
ಽ56ߣ޿޿‫ޔߦ߈ߣߚࠇ߹↢ޔ‬fWߩgߦ\]߇޽ࠆ߽ߩ߇›߽ᄙ޿‫ޔߚ߹ޕ‬Âߦ\]ߩ
޽ࠆÂ]߿Âߩ⊒x߇ߢ߈ߥ޿ÆÂ∝ߥߤ߇޽ࠆ‫ޕ‬
K߇࿖ߦ߅޿ߡ␹⚻▤㐽㎮㓚ኂߩ⊒∝3ߪ‫ޔ‬㧝hh;ᐕߢ಴↥㧔^↥ࠍ߻㧕㧝_ੱኻ
iŒj‫߁ޔ‬Þ4ಽ56ߪ,Œ㧞`˜ߣߐࠇߡ޿ࠆ‫ޕ‬
´, K߇࿖ߦ߅޿ߡ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫࠍⴕ߁ᔅⷐᕈߦߟ޿ߡ
K߇࿖ߦ߅ߌࠆ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩrߦߟ޿ߡߪ‫ߢ^⃻ޔ‬
ߪ‫ߥ⏕~ޔ‬3ቇ⊛ᩮ᜚߇⏕cߐࠇߡ޿ࠆkߢߪߥ޿߇‫ޔ‬¤ਅߩÌí߆ࠄ‫ޔ‬K߇࿖ߦ߅޿ߡ߽‫⻉ޔ‬
ᄖ࿖ߣtPߦ‫㉄⪲ޔ‬៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫߩߚ߼ߩᣇ╷ࠍlߓࠆߎߣ߇
ㆡಾߢ޽ࠆ‫ޕ‬
⻉ᄖ࿖ߢⴕࠊࠇߚPyߩ޿ࠊ8ࠆᩕ㙃9:㘩ຠࠍ↪޿ߚ3ቇ⎇ⓥߩߦ߅޿ߡ‫␹߇㉄⪲ޔ‬
⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢࠍૐᷫߔࠆߣ޿߁৻mߒߚᚑn߇8ࠄࠇߡ޿ࠆߎߣ‫ޕ‬
⪲㉄ߩઍ⻢â߇␹⚻▤㐽㎮㓚ኂߩ⊒∝¾oߦ ´ߔࠆߣ޿߁කቇ⊛ߥᩮ᜚߇␜ߐࠇߡ޿ࠆߎ
ߣ‫ޕ‬
GH⻉࿖ࠍ…ߦ㧝hhjᐕઍࠃࠅ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫኻ╷
߇ታdߐࠇߡ޿ࠆߎߣ‫ޕ‬
ࠛ 㧝h;jᐕઍ¤)ߩ಴↢೨¦§ᛛⴚߩะ਄ߦp߁ੱqᅧᆼrߥߤߩᓇ㗀ߦࠃࠅ‫ߩޔ‬ኻ╷
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Á⠪╬‫ޔ‬-.ŸÄ⠪╬‫ޔ‬㘩ຠ
!੐Ä⠪╬෸߮࿖1ߩœ-ࠍቯ߼ࠆ‫ޕ‬
㧔㧞㧕A?ߪ‫ޔ‬Úᐕ‫ޔ‬㘩xߩផㅴߦ ߒߡlߓߚd╷ߦ ߒ‫ޔ‬࿖ળߦႎ๔Ëࠍឭ಴ߔࠆ‫ޕ‬
㧠 㘩xផㅴၮ®%╬㧔´㧝i™߆ࠄ㧝;™ Á㧕
㧔㧝㧕㘩xផㅴળ⼏ߪ‫ޔ‬㘩xߩផㅴߦ ߔࠆd╷ߩ,ว⊛߆ߟ®%⊛ߥផㅴࠍ࿑ࠆߚ߼‫ޔ‬
㘩xផㅴၮ®%ࠍ_ᚑߔࠆ‫ޕ‬
㧔㧞㧕=>?@෸߮ëVߪ‫@?>=ޔ‬㘩xផㅴ®%෸߮ëV㘩xផㅴ®%ࠍ_ᚑߔ
ࠆࠃ߁m߼ߥߌࠇêߥࠄߥ޿‫ޕ‬
㧡 ၮ⊛d╷㧔´㧝h™߆ࠄ´㧞㧡™ Á㧕
㧔㧝㧕FGߦ߅ߌࠆ㘩xߩផㅴ
㧔㧞㧕ቇ ‫଻ޔ‬x╬ߦ߅ߌࠆ㘩xߩផㅴ
㧔,㧕HIߦ߅ߌࠆ㘩↢ᵴߩTUߩߚ߼ߩข⚵ߩផㅴ
㧔㧠㧕㘩xផㅴó¬ߩ›
㧔㧡㧕↢↥⠪ߣäÂ⠪ߣߩ¡ߩ¢ㅴ╬
㧔i㧕㘩Vൻߩ{ᛚߩߚ߼ߩᵴ¬߳ߩᡰេ╬
㧔㧣㧕㘩ຠߩ቟ƒᕈ‫ޔ‬ᩕ㙃ߘߩ7ߩ㘩↢ᵴߦ
ߩផㅴ
ȝ 6: ȝ
ߔࠆ⺞ᩏ‫⎇ޔ‬ⓥ‫ޔ‬sႎߩឭt෸߮࿖㓙¡
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㘩⢒ផㅴળ⼏㧔╙㧞㧢᧦߆ࠄ㧟㧟᧦㑐ଥ㧕
㧔㧝㧕 ౝ㑑ᐭߦ㘩⢒ផㅴળ⼏ࠍ⟎߈‫ޔ‬ળ㐳㧔ౝ㑑✚ℂᄢ⤿㧕෸߮ᆔຬ㧔㘩⢒ᜂᒰᄢ⤿‫ޔ‬
㑐ଥᄢ⤿෸߮᦭⼂⠪㧕㧞㧡ฬએౝߢ⚵❱ߔࠆ‫ޕ‬
㧔㧞㧕 ㇺ㆏ᐭ⋵෸߮Ꮢ↸᧛ߪ‫ޔ‬ㇺ㆏ᐭ⋵㘩⢒ផㅴળ⼏෸߮Ꮢ↸᧛㘩⢒ផㅴળ⼏ࠍ⟎ߊ
ߎߣ߇ߢ߈ࠆ‫ޕ‬
╙㧞 ஜᐽߠߊࠅߩߚ߼ߩ㘩⢒ߩផㅴߩߚ߼ߩၮᧄ⊛⠨߃ᣇ
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ஜᐽߠߊࠅ‫ޔ‬Უሶ଻ஜ‫ޔ‬㘩ຠ቟ో╬ߩᣉ╷ߦߟ޿ߡ‫ޔ‬ᚲ▤ߔࠆㇱዪ߇චಽߦ⺞ᢛ
ࠍ࿑ࠅߟߟ‫ޔ‬㘩⢒ߩផㅴߦଥࠆലᨐ⊛ߥ੐ᬺߩలታᒝൻࠍ࿑ࠆߎߣ‫ޕ‬
߹ߚ‫ߩߘޔ‬㓙ߦߪ‫ޔ‬ㄘ᡽ᜂᒰㇱዪ‫ޔ‬ᢎ⢒ᜂᒰㇱዪ╬ߩ㑐ଥㇱዪߣ߽චಽߥㅪ៤ߩ
ਅߢ‫✚ޔ‬ว⊛ߦ㘩⢒ߦ㑐ߔࠆᣉ╷ࠍㅴ߼ࠆߎߣ‫ޕ‬
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࿾ၞߦ߅ߌࠆ㘩⢒ߩផㅴߦ㑐ߔࠆᣉ╷ࠍㅴ߼ࠆߦᒰߚߞߡߪ‫ޔ‬㑐ଥᯏ㑐෸߮㑐ଥ
࿅૕ߣߩㅪ៤ᒝൻࠍ࿑ࠆߎߣ‫ޕ‬
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ㇺ㆏ᐭ⋵෸߮Ꮢ↸᧛ߦ߅ߌࠆ㘩⢒ផㅴ⸘↹ߩ╷ቯߦᒰߚߞߡߪ‫ޔ‬ஜᐽჇㅴᴺ㧔ᐔ
ᚑ 14 ᐕᴺᓞ╙ 103 ภ㧕ߦၮߠߊㇺ㆏ᐭ⋵ஜᐽჇㅴ⸘↹෸߮Ꮢ↸᧛ஜᐽჇㅴ⸘↹ਗ
߮ߦᰴ਎ઍ⢒ᚑᡰេኻ╷ផㅴᴺ㧔ᐔᚑ 15 ᐕᴺᓞ╙ 120 ภ㧕ߦၮߠߊ࿾ၞⴕേ⸘↹
╬ߣߩᢛวᕈࠍ࿑ࠆߎߣ‫ޕ‬
╙㧟 ஜᐽߠߊࠅߩߚ߼ߩ㘩⢒ߩផㅴߦ㑐ߔࠆၮᧄ⊛ข⚵
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࿾ၞߦ߅ߌࠆᩕ㙃࡮㘩↢ᵴᡷༀ‫ޔ‬㘩ຠߩ቟ోᕈߦ㑐ߔࠆ⍮⼂ߩ᥉෸ߩߚ߼ߩข⚵
ߩផㅴ
㧔㧝㧕 ↢ᵴ⠌ᘠ∛ߩ੍㒐෸߮ⷐ੺⼔⁁ᘒߦߥࠆߎߣߩ੍㒐ߥߤ↢ᶦࠍㅢߓߚஜᐽߠ
ߊࠅߩⷰὐ߆ࠄ‫଻ޔ‬ஜᚲ‫ޔ‬Ꮢ↸᧛଻ஜ࠮ࡦ࠲࡯‫ޔ‬ක≮ᯏ㑐╬ߦ߅ߌࠆᩕ㙃࡮
㘩↢ᵴᡷༀߦ㑐ߔࠆᱜߒ޿⍮⼂ߩ᥉෸߿ᵴേߩផㅴࠍ࿑ࠆߎߣ‫ޕ‬
㧔㧞㧕 ࿾ၞߦ߅ߌࠆ㘩ຠߩ቟ోᕈࠍᆎ߼ߣߔࠆ㘩ߦ㑐ߔࠆ᏷ᐢ޿ᖱႎߩឭଏ߿ᗧ⷗
੤឵╬ߩข⚵ߩផㅴࠍ࿑ࠆߎߣ‫ޕ‬
㧔㧟㧕 ࿾ၞߩ㘩ຠ㑐ㅪ੐ᬺ⠪╬߇ⴕ߁ᩕ㙃࡮㘩↢ᵴᡷༀ෸߮㘩ຠߩ቟ోᕈߦ㑐ߔࠆ
ᖱႎឭଏ߿ᗧ⷗੤឵ߩข⚵ߦදജߔࠆߥߤ㘩⢒ߩផㅴߩߚ߼ߩᵴേ߳ߩᡰេ
ࠍⴕ߁ߎߣ‫ޕ‬
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ኅᐸ‫଻ޔ‬⢒ᚲ╬ߦ߅ߌࠆஜోߥ㘩⠌ᘠߩ⏕┙╬ߩߚ߼ߩข⚵ߩផㅴ
㧔㧝㧕ኅᐸߦ߅ߌࠆஜోߥ㘩⠌ᘠߩ⏕┙෸߮㘩ຠߩ቟ోᕈߦ㑐ߔࠆᱜߒ޿⍮⼂ߩ᥉෸
ࠍ࿑ࠆߎߣ‫ޕ‬
㧔㧞㧕Ꮢ↸᧛଻ஜ࠮ࡦ࠲࡯෸߮ක≮ᯏ㑐ߢߩஜᐽ⸻ᩏ╬ߩᯏળࠍㅢߒߡ‫ޔ‬ᅧ↥ᇚ෸߮
੃ᐜఽߦኻߒ‫ߩࠅߣ߭ੱ৻ޔ‬ஜᐽ⁁ᘒ߿ሶߤ߽ߩ⊒㆐Ბ㓏ߦᔕߓߚᩕ㙃ᜰዉߩ
లታࠍ࿑ࠆߎߣ‫ޕ‬
㧔㧟㧕଻⢒ᚲߦ߅޿ߡ‫଻ޔ‬⢒⸘↹ߦㅪേߒߚ⚵❱⊛࡮⊒ዷ⊛ߥ‫ޟ‬㘩⢒ߩ⸘↹‫╷ߩޠ‬ቯ
╬߇ផㅴߐࠇࠆࠃ߁ᡰេࠍⴕ߁ߣߣ߽ߦ‫ޔ‬࿾ၞߣㅪ៤ߒߟߟ‫ޔ‬࿷ቛߩሶ⢒ߡኅ
ᐸ߆ࠄߩ੃ᐜఽߩ㘩ߦ㑐ߔࠆ⋧⺣‫ޔ‬ᖱႎឭଏ╬ߩข⚵ߩଦㅴࠍ࿑ࠆߎߣ‫ޕ‬
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㘩⢒ߩផㅴߩߚ߼ߩᩕ㙃࡮㘩↢ᵴᡷༀ෸߮㘩ຠߩ቟ోᕈߦ㑐ߔࠆ⺞ᩏ
㧔㧝㧕㘩⢒ߩផㅴߩߚ߼ߩᩕ㙃࡮㘩↢ᵴᡷༀߦ㑐ߔࠆ࿾ၞߩታᘒᛠី෸߮ᣉ╷ߩ⹏ଔ
ߦദ߼ࠆߎߣ‫ޕ‬
㧔㧞㧕࿾ၞߦ߅ߌࠆ㘩ຠߩ቟ోᕈߦ㑐ߔࠆ⺞ᩏ෸߮⎇ⓥࠍⴕ߁ߎߣ‫ޕ‬
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